title: Celiac disease in monozygous twin boys. Asynchronous presentation.
abstract: A 13-year-old boy presented when his weight gain fell behind that of his monozygous twin brother. Following investigation, he was found to have gluten-sensitive enteropathy on jejunal biopsy. Investigation of his symptom-free brother showed biopsy evidence of the condition with changes similar to those of the clinically affected boy. Following treatment with a gluten-free diet, the boys achieved a similar weight after 15 months.
mesh_terms: D000293:Adolescent; D001706:Biopsy; D001835:Body Weight; D002446:Celiac Disease / Q000175:diagnosis / Q000178:diet therapy / Q000235:genetics*; D004200:Diseases in Twins; D005260:Female; D005983:Glutens / Q000008:administration & dosage; D006801:Humans; D006965:Hyperplasia; D007583:Jejunum / Q000473:pathology; D008297:Male; D011247:Pregnancy; D013997:Time Factors; D014430:Twins, Monozygotic
chemical_list: D005983:Glutens