Studerus Diana, Schumann Michael
Zöliakie Zentrum Schweiz & GastroZentrum Hirslanden, Zürich, Schweiz.
Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Hindenburgdamm 30, 12200, Berlin, Deutschland.
Inn Med (Heidelb). 2023 Dec;64(12):1162-1170. doi: 10.1007/s00108-023-01621-y. Epub 2023 Nov 14.
Nowadays, celiac disease is well-established in internal medicine as an autoimmune disease induced by gluten as a trigger. Undoubtedly similarly well-established is the gluten-free diet. It is the only recognized therapy for celiac disease to date. However, this presents some pitfalls in its implementation, which will be discussed in the following review. In addition, current developments that have the potential to significantly change both diagnosis and treatment of celiac disease are discussed. On the one hand, such an outlook was chosen since colleagues want to be "ready" when such developments are integrated into daily clinical routine. On the other hand, the realization that the field of mucosal immunology is moving forward has the potential to lift the spirits of the reader.
如今,乳糜泻作为一种由麸质引发的自身免疫性疾病,在医学内科领域已得到广泛认可。毫无疑问,无麸质饮食同样也被广泛认可。它是迄今为止唯一被认可的乳糜泻治疗方法。然而,在实施过程中存在一些陷阱,将在以下综述中进行讨论。此外,还将探讨目前有可能显著改变乳糜泻诊断和治疗的进展。一方面,选择这样的展望是因为当这些进展融入日常临床实践时,同事们希望“做好准备”。另一方面,认识到黏膜免疫学领域正在向前发展,这有可能振奋读者的精神。