Effects of dietary gluten elimination in patients with recurrent minor aphthous stomatitis and no detectable gluten enteropathy
Identifieur interne : 001F65 ( Istex/Corpus ); précédent : 001F64; suivant : 001F66Effects of dietary gluten elimination in patients with recurrent minor aphthous stomatitis and no detectable gluten enteropathy
Auteurs : I. P. Hunter ; M. M. Ferguson ; C. Scully ; A. R. Galloway ; A. N. H. Main ; R. I. RussellSource :
- Oral Surgery, Oral Medicine, Oral Pathology [ 0030-4220 ] ; 1993.
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- KwdEn :
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Abstract
Abstract: Fifty patients with a history of minor recurrent aphthous stomatitis were entered into a 6-month double-blind controlled trial of a gluten-free diet. After hematologic and biochemical investigations and jejunal biopsy, one half of the group was given a gluten-free diet; the other half served as controls and received a gluten-free diet supplemented by gluten given blind (control diet). Twenty-three patients completed the trial, 11 patients on a gluten-free diet, 12 on the control diet. Four of the 11 on the gluten-free diet and 7 of the 12 on the control diet reported significant benefit in terms of minor recurrent aphthous stomatitis, but there was no statistical difference between the responses. The results fail to support studies that report widespread benefit in aphthae of gluten withdrawal and suggest simply a marked placebo response in the condition.
Url:
DOI: 10.1016/0030-4220(93)90232-S
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<front><div type="abstract" xml:lang="en">Abstract: Fifty patients with a history of minor recurrent aphthous stomatitis were entered into a 6-month double-blind controlled trial of a gluten-free diet. After hematologic and biochemical investigations and jejunal biopsy, one half of the group was given a gluten-free diet; the other half served as controls and received a gluten-free diet supplemented by gluten given blind (control diet). Twenty-three patients completed the trial, 11 patients on a gluten-free diet, 12 on the control diet. Four of the 11 on the gluten-free diet and 7 of the 12 on the control diet reported significant benefit in terms of minor recurrent aphthous stomatitis, but there was no statistical difference between the responses. The results fail to support studies that report widespread benefit in aphthae of gluten withdrawal and suggest simply a marked placebo response in the condition.</div>
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<ce:surname>Galloway</ce:surname>
<ce:roles>MRCP</ce:roles>
<ce:cross-ref refid="AFF4"><ce:sup>d</ce:sup>
</ce:cross-ref>
</ce:author>
<ce:author><ce:given-name>A.N.H.</ce:given-name>
<ce:surname>Main</ce:surname>
<ce:roles>MRCP</ce:roles>
<ce:cross-ref refid="AFF4"><ce:sup>d</ce:sup>
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<ce:author><ce:given-name>R.I.</ce:given-name>
<ce:surname>Russell</ce:surname>
<ce:roles>FRCP</ce:roles>
<ce:cross-ref refid="AFF4"><ce:sup>d</ce:sup>
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<ce:affiliation id="AFF1"><ce:label>a</ce:label>
<ce:textfn>University Department of Oral Medicine and Oral Pathology, Dental Hospital and School, Glasgow, Scotland</ce:textfn>
</ce:affiliation>
<ce:affiliation id="AFF2"><ce:label>b</ce:label>
<ce:textfn>Department of Oral Medicine and Oral Surgery, School of Dentistry, University of Otago, Dunedin, New Zealand</ce:textfn>
</ce:affiliation>
<ce:affiliation id="AFF3"><ce:label>c</ce:label>
<ce:textfn>University Department of Oral Medicine, Pathology, and Microbiology, Bristol Dental School and Hospital. Bristol, U.K.</ce:textfn>
</ce:affiliation>
<ce:affiliation id="AFF4"><ce:label>d</ce:label>
<ce:textfn>Gastroenterology Unit, Royal Infirmary, Glasgow, Scotland</ce:textfn>
</ce:affiliation>
<ce:correspondence id="COR1"><ce:label>1</ce:label>
<ce:text><ce:italic>Reprint requests:</ce:italic>
Professor Crispian Scully University Department of Oral Medicine, Pathology, and Microbiology Bristol Dental School and Hospital Lower Maudlin Street Bristol BS1 2LY UK</ce:text>
</ce:correspondence>
</ce:author-group>
<ce:abstract><ce:section-title>Abstract</ce:section-title>
<ce:abstract-sec><ce:simple-para>Fifty patients with a history of minor recurrent aphthous stomatitis were entered into a 6-month double-blind controlled trial of a gluten-free diet. After hematologic and biochemical investigations and jejunal biopsy, one half of the group was given a gluten-free diet; the other half served as controls and received a gluten-free diet supplemented by gluten given blind (control diet). Twenty-three patients completed the trial, 11 patients on a gluten-free diet, 12 on the control diet. Four of the 11 on the gluten-free diet and 7 of the 12 on the control diet reported significant benefit in terms of minor recurrent aphthous stomatitis, but there was no statistical difference between the responses. The results fail to support studies that report widespread benefit in aphthae of gluten withdrawal and suggest simply a marked placebo response in the condition.</ce:simple-para>
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<name type="personal"><namePart type="given">I.P.</namePart>
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<abstract lang="en">Abstract: Fifty patients with a history of minor recurrent aphthous stomatitis were entered into a 6-month double-blind controlled trial of a gluten-free diet. After hematologic and biochemical investigations and jejunal biopsy, one half of the group was given a gluten-free diet; the other half served as controls and received a gluten-free diet supplemented by gluten given blind (control diet). Twenty-three patients completed the trial, 11 patients on a gluten-free diet, 12 on the control diet. Four of the 11 on the gluten-free diet and 7 of the 12 on the control diet reported significant benefit in terms of minor recurrent aphthous stomatitis, but there was no statistical difference between the responses. The results fail to support studies that report widespread benefit in aphthae of gluten withdrawal and suggest simply a marked placebo response in the condition.</abstract>
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