Hernandez-Lahoz C, Mauri-Capdevila G, Vega-Villar J, Rodrigo L
Hospital Universitario Central de Asturias, 33006 Oviedo, Espana.
Rev Neurol. 2011 Sep 1;53(5):287-300.
Gluten sensitivity is a systemic autoimmune disease that occurs in genetically susceptible individuals on ingesting gluten. It can appear at any age, then becoming a permanent condition. It is more frequent in women, as happens with other autoimmune diseases. Celiac disease is the intestinal form and the most important manifestation among a set of gluten-induced autoimmune pathologies that affect different systems. Neurological manifestations of gluten sensitivity, with or without enteropathy, are also frequent, their pathogenesis including an immunological attack on the central and peripheral nervous tissue accompanied by neurodegenerative changes. The clinical manifestations are varied, but the most common syndromes are cerebellar ataxia and peripheral neuropathy. Finally, gluten sensitivity is associated to a varying degree, with other complex diseases and could influence their evolution. The early detection of cases of gluten sensitivity with neurological manifestations and subsequent treatment with the gluten-free diet could provide remarkable benefits to the patients.
麸质敏感是一种系统性自身免疫性疾病,发生于具有遗传易感性的个体摄入麸质后。它可在任何年龄出现,并成为一种永久性病症。女性更为常见,其他自身免疫性疾病也是如此。乳糜泻是肠道型,是一组影响不同系统的麸质诱导自身免疫性疾病中最重要的表现形式。麸质敏感的神经学表现,无论有无肠病,也很常见,其发病机制包括对中枢和外周神经组织的免疫攻击以及神经退行性改变。临床表现多种多样,但最常见的综合征是小脑共济失调和周围神经病变。最后,麸质敏感在不同程度上与其他复杂疾病相关,并可能影响其发展。早期发现有神经学表现的麸质敏感病例并随后采用无麸质饮食进行治疗可为患者带来显著益处。