预后
乳糜泻患者预后良好。[173]Haines ML, Anderson RP, Gibson PR. Systematic review: the evidence base for long-term management of coeliac disease. Aliment Pharmacol Ther. 2008 Nov 1;28(9):1042-66.https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2036.2008.03820.xhttp://www.ncbi.nlm.nih.gov/pubmed/18671779?tool=bestpractice.com 仅通过坚持无麸质饮食,大多数患者(在某些研究中多达 90%)的症状即可完全且持续消退。10% 持续存在症状的患者中,大多是由于持续的麸质暴露、乳糖不耐受、便秘和肠易激综合征。预计不到 1% 的患者会进展为难治性乳糜泻。[14]Ilus T, Kaukinen K, Virta LJ, et al. Refractory coeliac disease in a country with a high prevalence of clinically-diagnosed coeliac disease. Aliment Pharmacol Ther. 2014 Feb;39(4):418-25.https://onlinelibrary.wiley.com/doi/10.1111/apt.12606http://www.ncbi.nlm.nih.gov/pubmed/24387637?tool=bestpractice.com
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