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In 1924, Sidney V. Haas (1870–1964) described the first SCD for the treatment of children with celiac disease; this was known as the banana diet. [2] [3] Haas described a trial with 10 children; all 8 children treated with bananas went into remission, and the two control children died. [4]
Coeliac disease (British English) or celiac disease (American English) is a long-term autoimmune disorder, primarily affecting the small intestine, where individuals develop intolerance to gluten, present in foods such as wheat, rye, spelt and barley. [10]
Coeliac disease with "classic symptoms", which include gastrointestinal manifestations such as chronic diarrhea and abdominal distention, malabsorption, loss of appetite, and impaired growth, is currently the least common presentation of the disease and affects predominantly small children generally younger than two years of age.
For people with celiac disease, a lifelong strict gluten-free diet is the only effective treatment to date; [23] [69] For people diagnosed with non-celiac gluten sensitivity, there are still open questions concerning for example the duration of such a diet.
Sidney Valentine Haas, M.D. (1870–1964) was a U.S. pediatrician whose research determined a dietary means of combating celiac disease. Haas was born in Chicago and moved to New York City when he was six years old. He attended New York University Medical School and Columbia University's College of Physicians and Surgeons. [1]
Celiac disease affects ~1% of the population in most parts of the world. [3] Ninety to one hundred percent of patients with coeliac disease have inherited genes at the HLA-DQ locus that encode HLA-DQ2 and/or HLA-DQ8 serotype proteins. [12] About 2–3% of individuals who inherit these HLA-DQ2 and/or HLA-DQ8 serotypes develop coeliac disease. [10]
European guidelines suggest that in children and adolescents with symptoms which are compatible with coeliac disease, the diagnosis can be made without the need for an intestinal biopsy if anti-tTG antibodies titres are very high (10 times the upper limit of normal). [9]
Thus in the 1940s Willem Dicke was able to corroborate his previously researched hypothesis that wheat intake was aggravating coeliac disease. In the 1940s and 1950s he went on to develop the gluten-free diet, changing the way of treatment and destinies of children sick with coeliac disease.