Diet, gluten-free

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 30.03.2023

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General definition
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Diet avoiding gluten-containing foods made from wheat, oats, rye, spelt, barley, green spelt and kamut. Prohibited are all foods made from them, such as flours, semolina, malt, bread, pastries, breadcrumbs, pasta, dumplings, sauces, cakes, waffles, etc. All other foods such as corn, rice, soy, buckwheat, millet, potatoes, vegetables, fruit, milk, eggs, meat, fish, etc. are allowed in this form of therapy. As a substitute for wheat flour, there are various gluten-free flours, breads, pastries, pasta and sweets available in specialized stores.

Notice. In processed foods such as sweets, ready-made products, sausage, etc., a gluten content is often not explicitly stated by the manufacturer. Wheat gluten is used in food technology and is often not sufficiently declared.

Indication
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Among other things for dermatitis herpetiformis (Duhring) and celiac disease. Therapy successes with a gluten-free diet have also been described for arthritis in psoriatic patients in whom gliadin antibodies (see gluten below) have been detected.

Literature
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  1. Barera G et al (2004) Longitudinal changes in bone metabolism and bone mineral content in children with celiac disease during consumption of a gluten-free diet. Am J Clin Nutr 79: 148-154
  2. Czech W (1995) Gluten-free diet in Duhring dermatitis herpetiformis. dermatologist 46: 736
  3. Limbach A et al (2003) Long-term study of patients with coeliac disease in childhood and adolescence: latent and transient coeliac disease. Clinic Padiatr 215: 76-81
  4. Mothes T et al (2003) How gluten-free is gluten-free, and what does this mean to coeliac patients? Eur J Gastroenterol Hepatol 15: 461-463

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Dermatitis herpetiformis;

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Last updated on: 30.03.2023