Gluten disorders

Down to Earth - - HEALTH -

On­lyre­cent­ly­haveg­luten-re­lated dis­eases­been­cat­e­gorised CELIAC DIS­EASE is only one among three gluten-re­lated disorders, the oth­ers be­ing Wheat Al­lergy (WA) and Non­Celiac Gluten Sen­si­tiv­ity (NCGS). Th­ese were cat­e­gor­i­cally de­fined by a panel of ex­perts who first met in Lon­don in 2011 and then in Mu­nich in 2012. Celiac is an auto-im­mune dis­or­der, WA is an al­ler­gic re­ac­tion to gluten. But NCGS is nei­ther al­ler­gic nor au­toim­mune. It is a rel­a­tively new term that is ill-de­fined and still not part of our text­books, says Pankaj Vohra, founder-di­rec­tor of Celiac In­dia and Be­yond, a Delhi-based non-profit.

A range of stud­ies have at­tempted to clear the air be­tween CD, WA and NCGS. Some in­di­vid­u­als who ex­pe­ri­ence dis­tress when eat­ing gluten-con­tain­ing prod­ucts and show im­prove­ment when fol­low­ing a gluten­free diet may have NCGS, in­stead of CD. NCGS pa­tients are un­able to tol­er­ate gluten and de­velop an ad­verse re­ac­tion, but this does not lead to dam­age of the small in­tes­tine.

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