1. Enteropathies with villous atrophy but negative coeliac serology in adults: current issues
- Author
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Marta Cincotta, David S Sanders, Federico Biagi, and Annalisa Schiepatti
- Subjects
Adult ,Pediatrics ,medicine.medical_specialty ,Malabsorption ,malabsorption ,Histological response ,RC799-869 ,Coeliac Disease ,Coeliac disease ,Serology ,Diet, Gluten-Free ,medicine ,Humans ,Villous atrophy ,small intestinal biopsy ,Intestinal Mucosa ,Heterogeneous group ,business.industry ,Gastroenterology ,Diseases of the digestive system. Gastroenterology ,medicine.disease ,Celiac Disease ,Intestinal Diseases ,Narrative review ,gluten free diet ,Differential diagnosis ,Atrophy ,business - Abstract
ObjectiveThe differential diagnosis and management of seronegative enteropathies is challenging due to the rarity of these conditions, the overlap of clinical and histopathological features and the current lack of an international consensus on their nomenclature.DesignThis is a narrative review providing pragmatic guide on the investigation and clinical management of seronegative enteropathies in adults based on the available literature and our clinical experience.ConclusionsSeronegative coeliac disease is the most frequent cause among the heterogeneous group of seronegative enteropathies and its diagnosis is confirmed by the clinical and histological response to a gluten-free diet after the exclusion of other causes of villous atrophy. Correct identification and targeted management of seronegative enteropathies is mandatory because of the variation in terms of clinical outcomes and prognosis.
- Published
- 2021