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. 2019 Oct 20;2019:8974751. doi: 10.1155/2019/8974751

Table 2.

Results of available evidence in support or against GFD in PCD asymptomatic patients.

Study About GFD Study population Conclusions Limitations
Tosco et al. [25] Against GFD 106 children 33% of incidence of villous atrophy after 3 years in with PCD Unknown number of patients lost at follow-up
Lionetti et al. [44] Against GFD 24 asymptomatic children CD markers disappear in most young children with potential CD despite a regular diet Small sample size
Silvester et al. [45] Against GFD Review paper In the absence of symptoms or villous atrophy, treatment with a GFD does not appear to be necessary in most cases N/A
Mandile et al. [41] Against GFD 47 children Association between CD and irritable bowel syndrome may be a significant confounding factor Irritable bowel syndrome is overlapping with CD
Lionetti et al. [43] Against GFD 23 asymptomatic children Risk of progression to overt CD while on a gluten-containing diet is very low in the long-term. Age of the study group and study design
Kurppa et al. [38] Supports GFD 23 adults Patients with endomysial antibodies benefit from a GFD regardless of the degree of enteropathy. Marsh II included in study population
Kurppa et al. [39] Supports GFD 17 children Children benefit from early treatment despite normal mucosal structure Small sample size