Walker-Smith J
Arch Dis Child. 1970 Aug;45(242):523-6. doi: 10.1136/adc.45.242.523.
An infant presented with hypoproteinaemic oedema two months after an episode of salmonella enteritis. His oedema subsided spontaneously, but he failed to thrive and small bowel biopsy revealed partial villous atrophy of a severe degree. He was started on a gluten-free diet with a dramatic clinical response and this diet was continued for one year. He was then reinvestigated and small intestinal biopsy was then normal. He was then given a normal diet and a third biopsy performed 16 months later showed that the mucosa was still normal. It is suggested that a transient intolerance to gluten occurred in this patient as a sequel to enteritis, and that a clinical response to a gluten-free diet is not necessarily diagnostic of coeliac disease.
一名婴儿在沙门氏菌肠炎发作两个月后出现低蛋白血症性水肿。他的水肿自行消退，但生长发育不良，小肠活检显示为重度部分绒毛萎缩。开始给予无麸质饮食，临床反应显著，该饮食持续了一年。之后对他进行复查，小肠活检结果正常。然后给他恢复正常饮食，16个月后进行的第三次活检显示黏膜仍然正常。提示该患者因肠炎继发了对麸质的短暂不耐受，对无麸质饮食的临床反应不一定能诊断为乳糜泻。
