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Kerly Maire Servilieri Poster GF 2015

Kerly Maire Servilieri
Kerly Maire Servilieri

This document presents a case study of a patient with non-celiac gluten sensitivity (NCGS). The patient had recurring allergic rhinitis and blood tests ruled out celiac disease. Though the patient received allergy vaccination, symptoms like nasal stuffiness, GI issues, and fatigue persisted. An elimination diet removing gluten and milk for 3 months provided relief from these symptoms. This suggests the patient has NCGS since symptoms improved without gluten. NCGS involves sensitivity to gluten without the antibodies or intestinal damage of celiac disease.

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NONNON--COELIAC GLUTENCOELIAC GLUTEN SENSITIVITYSENSITIVITY A Patient's Case Kerly Maire Servilieri1, Anne Buus2 1 Community Pharmacy, Aarhus Vejlby Apotek, Denmark 2 Allergy and Lung Clinic Aarhus, Denmark A recurring patient with severe allergic rhinitis (hay fever) was by a pharmacy referred to a physician, who referred her to an allergy specialist. Blood tests showed a high Timothy-grass antibody. New blood tests was negative for transglutaminas e antibodies and DQ2/DQ8, and therefore it almost certainly wasnt coeliac The patient had a deviation from the normal range with respect to cholesterol, LDL, But... The patient subsequently received three years of allergy vaccination but some symptoms still persisted (stuffy nose, GI symptoms and fatigue), indicating that this patient could have non-coeliac gluten sensitivity (NCGS). Pathogenesis Not autoimmune Not allergic (Innate immunity?) Gluten sensitivity Allergic Wheat allergy Food Allergy WDEIA Contact Respiratory Autoimmune Coeliac DiseaseGluten Ataxia Dermatitis herpetiformis Gluten Related Disorders Gluten sensitivity NCGS - Non-coeliac gluten sensitivity - has been coined to describe those individuals who cannot tolerate gluten and experience symptoms similar to those with coeliac disease but yet who lack the same antibodies and intestinal damage as seen in coeliac disease. (celiaccentral.org) .. The pictures below and to the right show the patient and the allergist interviewed by Jack Fridthjof -TV Aarhus. disease. cholesterol, LDL, iron, D-vitamine, bone-marrov function and average blood sugar, which is common for most gluten sensitive patients. Since diagnosis of NCGS is based on exclusion criteria, i.e. a period without gluten, the allergist ordered an abstinence of gluten and milk (milk protein cross react with gliadin) for 3 months to observe the symptoms. After two weeks The patient experienced a relieve of stuffy nose, abdominal pain, indigestion, bloating, constipation and nausea. After two months Food Allergy WDEIA Contact Urticaria Respiratory Allergy Symptomatic Silent Potential Sapone et al. BMC Medicine 2012 Further symptoms were relieved, which included; weakness, exhaustion, muscle pain, memory problems and mild depression.

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Kerly Maire Servilieri Poster GF 2015

  • 1. NONNON--COELIAC GLUTENCOELIAC GLUTEN SENSITIVITYSENSITIVITY A Patient's Case Kerly Maire Servilieri1, Anne Buus2 1 Community Pharmacy, Aarhus Vejlby Apotek, Denmark 2 Allergy and Lung Clinic Aarhus, Denmark A recurring patient with severe allergic rhinitis (hay fever) was by a pharmacy referred to a physician, who referred her to an allergy specialist. Blood tests showed a high Timothy-grass antibody. New blood tests was negative for transglutaminas e antibodies and DQ2/DQ8, and therefore it almost certainly wasnt coeliac The patient had a deviation from the normal range with respect to cholesterol, LDL, But... The patient subsequently received three years of allergy vaccination but some symptoms still persisted (stuffy nose, GI symptoms and fatigue), indicating that this patient could have non-coeliac gluten sensitivity (NCGS). Pathogenesis Not autoimmune Not allergic (Innate immunity?) Gluten sensitivity Allergic Wheat allergy Food Allergy WDEIA Contact Respiratory Autoimmune Coeliac DiseaseGluten Ataxia Dermatitis herpetiformis Gluten Related Disorders Gluten sensitivity NCGS - Non-coeliac gluten sensitivity - has been coined to describe those individuals who cannot tolerate gluten and experience symptoms similar to those with coeliac disease but yet who lack the same antibodies and intestinal damage as seen in coeliac disease. (celiaccentral.org) .. The pictures below and to the right show the patient and the allergist interviewed by Jack Fridthjof -TV Aarhus. disease. cholesterol, LDL, iron, D-vitamine, bone-marrov function and average blood sugar, which is common for most gluten sensitive patients. Since diagnosis of NCGS is based on exclusion criteria, i.e. a period without gluten, the allergist ordered an abstinence of gluten and milk (milk protein cross react with gliadin) for 3 months to observe the symptoms. After two weeks The patient experienced a relieve of stuffy nose, abdominal pain, indigestion, bloating, constipation and nausea. After two months Food Allergy WDEIA Contact Urticaria Respiratory Allergy Symptomatic Silent Potential Sapone et al. BMC Medicine 2012 Further symptoms were relieved, which included; weakness, exhaustion, muscle pain, memory problems and mild depression.