Summary

Awareness of celiac disease is rising, yet its diagnosis remains challenging, and many patients remain undiagnosed. In addition, many patients continue to experience symptoms despite adopting a gluten-free diet. Noncompliance, cross-contamination, and other conditions can cause symptoms to persist. Refractory disease is associated with lymphoma, which is associated with poor survival.

  • gluten
  • celiac disease
  • gluten-free diet
  • enteropathy-associated T-cell lymphoma
  • tissue transglutaminase
  • immunoglobulin A
  • small intestinal bacterial overgrowth
  • refractory celiac disease
  • gastroenterology clinical trials
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