Department of Complementary and Alternative Medicine, John A Burns School of Medicine, University of Hawaii, 651 Ilalo Street, MEB 223, Honolulu, HI 96813, USA.
Expert Rev Gastroenterol Hepatol. 2012 Feb;6(1):43-55. doi: 10.1586/egh.11.79.
Gluten sensitivity appears to be emerging as a separate condition from celiac disease, yet no clear definition or diagnosis exists. As a result, patients with gluten sensitivity experience delayed diagnosis and continuing symptoms if they consume gluten. This emerging medical problem may involve human genetics, plant genetic modifications, gluten as a food additive, environmental toxins, hormonal influences, intestinal infections and autoimmune diseases. The treatment is similar to that for celiac disease - a gluten-free diet. The use of a gluten-free diet or an elimination diet is encouraged in assisting people to determine whether or not they are gluten sensitive. It is time to not only recognize, but to treat and further research gluten sensitivity, as unconfirmed environmental factors continue to spread this problem further into the general population.
gluten 敏感性似乎正在从乳糜泻中分离出来成为一种独立的病症,但目前尚无明确的定义或诊断标准。因此,如果乳糜泻患者摄入麸质,他们的诊断会延迟,症状也会持续存在。这个新出现的医学问题可能涉及人类遗传学、植物基因改造、作为食品添加剂的麸质、环境毒素、激素影响、肠道感染和自身免疫性疾病。治疗方法与乳糜泻类似——无麸质饮食。鼓励使用无麸质饮食或排除饮食来帮助人们确定他们是否对麸质敏感。现在不仅要认识到这个问题,还要对其进行治疗和进一步研究,因为未经证实的环境因素继续将这个问题进一步传播到更广泛的人群中。