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Gluten exposure and risk of autoimmune disorders
  1. F Biagi,
  2. D Pezzimenti,
  3. J Campanella,
  4. G R Corazza
  1. IRCCS Policlinico S Matteo, Università Degli Studi di Pavia, V le Golgi, 19, 27100 Pavia, Italy
  1. Correspondence to:
    Professor GR Corazza;
    gr.corazza{at}smatteo.pv.it

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We applaud the paper from Sategna Guidetti et al (Gut 2001;49:502–5) showing that, contrary to what was described in a paediatric population,1 there is no clear relationship between gluten exposure and risk of autoimmune disease (AID) in adult patients affected by coeliac disease (CD).

Although in our clinical experience we have seen CD patients developing AID after many years on a strict gluten free diet, we thought that the data published by Ventura and colleagues1 should have been easily confirmed in an adult population. However, in common with Sategna Guidetti et al, this did not appear to be the case in the coeliac patients …

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