Iacono G, Nocerino A, Guandalini S, Carroccio A, Cavataio F, Balsamo V
Ospedale dei Bambini G. Cristina, Palermo, Italy.
J Pediatr Gastroenterol Nutr. 1991 Apr;12(3):400-3. doi: 10.1097/00005176-199104000-00021.
We report a case of transient gluten hypersensitivity, demonstrated by jejunal histology at diagnosis, normalization after gluten-free diet, and acute clinical and histological relapse after a challenge with gluten powder at the age of 1 year, resembling that observed in cow's milk protein intolerance. Subsequent provocation tests did not show any alteration. Cases of supposed transient gluten hypersensitivity are rarely reported; our patient is characterized by the acute reaction to gluten challenge associated with a damaged histological picture and depressed levels of complement.
我们报告了一例短暂性麸质过敏病例，诊断时通过空肠组织学检查得以证实，无麸质饮食后恢复正常，且在1岁时用麸质粉激发试验后出现急性临床和组织学复发，类似于牛奶蛋白不耐受中观察到的情况。随后的激发试验未显示任何改变。所谓短暂性麸质过敏的病例很少有报道；我们的患者的特点是对麸质激发试验有急性反应，伴有组织学图像受损和补体水平降低。
