Why is coeliac disease endemic in the people of the Sahara?

@article{Catassi1999WhyIC,
  title={Why is coeliac disease endemic in the people of the Sahara?},
  author={Carlo Catassi and I M Ratsch and Lenora Gandolfi and Riccardo Pratesi and Elisabetta Fabiani and Ramzi El Asmar and Maria Frijia and Italo Bearzi and L Vizzoni},
  journal={The Lancet},
  year={1999},
  volume={354},
  pages={647-648}
}

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References

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Anti-reticulin antibodies: useful adjunct to histopathology in diagnosing celiac disease, especially in a developing country.

A positive ARA assay with an initial subtotal villous atrophy was seen to always suggest CD, and these together would provide a useful basis for instituting gluten-free diets in suspected cases of CD rather than histological findings alone.

Chronic diarrhea and malnutrition--histology of the small intestinal lesion.

The jejunal lesion in Gambian children with chronic diarrhea-malnutrition syndrome is consistent with an intestinal reaction to some environmental antigen of the cell-mediated type, strengthened by the expression of major histocompatibility class 2D locus alloantigens on crypt epithelial cells in the absence of gut-reactive autoantibodies.

Expression of receptors for enterotoxigenic Escherichia coli during enterocytic differentiation of human polarized intestinal epithelial cells in culture

Both in HT-29 cells (HT-29 Glc-/+) and in Caco-2 cells cultured under standard conditions, ETEC CFA receptors develop as a function of day in culture, indicating that the expression of the ETECCFA receptors was a growth-related event.