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Aliment Pharmacol Ther. Author manuscript; available in PMC 2017 January 31. Published in final edited form as: Aliment Pharmacol Ther. 2016 September ; 44(6): 612–619. doi:10.1111/apt.13725.

Symptomatic suspected gluten exposure is common among patients with coeliac disease on a gluten-free diet Jocelyn A Silvester, MD PhD1,2, Lesley A Graff, PhD, Lisa Rigaux, BSc3, John R Walker, PhD1, and Donald R Duerksen, MD1,3 1College

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2Celiac 3St

of Medicine, University of Manitoba, Winnipeg, MB R3E 3P5

Research Program, Harvard Medical School, 300 Brookline Avenue, Boston, MA 02215

Boniface Hospital, 409 Tache Avenue, Winnipeg, MB R2H 2A6

Abstract BACKGROUND—A gluten-free diet is the only recommended treatment for coeliac disease. AIM—To determine the prevalence and characteristics of reactions to gluten among persons with coeliac disease on a gluten-free diet.

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METHODS—Adults with biopsy proven, newly diagnosed coeliac disease were prospectively enrolled. A survey related to diet adherence and reactions to gluten was completed at study entry and 6 months. The Celiac Symptom Index (CSI), Celiac Diet Assessment Tool (CDAT) and Gluten-Free Eating Assessment Tool (GF-EAT) were used to measure coeliac disease symptoms and gluten-free diet adherence. RESULTS—Of the 105 participants, 91% reported gluten exposure 1/week) Occasional gluten (1-3/month)

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Symptomatic suspected gluten exposure is common among patients with coeliac disease on a gluten-free diet.

A gluten-free diet is the only recommended treatment for coeliac disease...
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