TY  - JOUR
T1  - MAlabsorption and systemic lupus erythematosus
AU  - BRAESTER A, VARKEL Y, HORN Y
Y1  - 1989/08/01
N1  - 10.1001/archinte.1989.00390080145035
JO  - Archives of Internal Medicine
SP  - 1901
EP  - 1901
VL  - 149
IS  - 8
N2  - (Continued from p 1900.)To the Editor.—In reference to Rustgi and Peppercorn's article appearing in the July 1988 issue of the Archives dealing with gluten-sensitive enteropathy (GSE) and systemic lupus erythematosus (SLE),1 we wish to point out some inaccuracies. A MEDLINE search of the literature yields eight cases of concomitant occurrence of intestinal malabsorption with typical changes of celiac disease on intestinal biopsy and SLE2-8 (Table), not four cases, as cited in Rustgi and Peppercorn's article. They seem to ignore four other cases.2-5 Among these four cases, a gluten-free diet (GFD) was not tried in two,2,3 and was ineffective in one5; in one case4 celiaclike changes occurred in a patient with SLE and dermatitis herpetiformis (DH), without clinical aspects of malabsorption, and with normal small-bowel function (because of the high incidence of celiac disease in DH). A GFD was tried, but there is
SN  - 0003-9926
M3  - doi: 10.1001/archinte.1989.00390080145035
UR  - http://dx.doi.org/10.1001/archinte.1989.00390080145035
ER  -