Am Fam Physician. 2016 May 1;93(9):788.
Can patients with nonceliac gluten sensitivity tell when they are exposed to gluten?
Gluten may not be the cause of gastrointestinal symptoms in many patients with nonceliac gluten sensitivity. Only one-third of patients on a gluten-free diet experienced symptoms and correctly identified when they were given gluten-containing flour. Almost one-half (49%) of patients experienced symptoms even though they were given gluten-free flour. (Level of Evidence = 1b−)
Although the incidence of celiac disease—with resulting gluten sensitivity—is approximately 0.4%, many persons who do not have antibodies to gluten identify symptoms when they eat gluten-containing foods. The r
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