Walker-Smith J A
Gut. 1973 May;14(5):374-5. doi: 10.1136/gut.14.5.374.
Discordance for childhood coeliac disease in monozygotic twin boys is reported. The diagnosis of coeliac disease in the second-born twin was established by demonstration of a flat small intestinal mucosa on biopsy and a clinical response to a gluten-free diet. The first-born twin had a normal small intestinal mucosa. Phenotypic, genotypic, and dermatoglyphic observations as well as gross observation of the placenta and membranes provided strong evidence that these twin boys were monozygotic.
据报道,一对单卵双胞胎男孩在儿童乳糜泻方面存在不一致情况。通过活检显示小肠黏膜扁平以及对无麸质饮食的临床反应,确诊了第二个出生的双胞胎患有乳糜泻。第一个出生的双胞胎小肠黏膜正常。表型、基因型和皮纹观察以及对胎盘和胎膜的大体观察提供了有力证据,证明这对双胞胎男孩是单卵双胞胎。