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This abstract is from PubMed:

Ann Rheum Dis. 2004 Nov;63(11):1501-3.
Gluten sensitivity masquerading as systemic lupus erythematosus.
Hadjivassiliou M, Sanders DS, Grunewald RA, Akil M.

Department of Neurology, The Royal Hallamshire Hospital, Glossop
Road, Sheffield S10 2JF, UK. [log in to unmask]

CASE REPORTS: Three patients are described whose original
presentation and immunological profile led to the erroneous diagnosis of
systemic lupus erythematosus. The correct diagnosis of gluten sensitivity
was made after years of treatment with steroids and other immunosuppressive
drugs. CONCLUSIONS: The immunological profile of IgA deficiency and/or
raised double stranded DNA in the absence of antinuclear factor together
with raised inflammatory markers and symptoms suggestive of an immune
diathesis should alert the physician to the possibility of gluten
sensitivity. The presence of an enteropathy is no longer a prerequisite for
the diagnosis of gluten sensitivity, which can solely present with
extraintestinal symptoms and signs. Knowledge of the diverse manifestations
of gluten sensitivity is essential in avoiding such misdiagnosis.

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