Which cereal is not to be given in celiac sprue?: (A) Wheat, (B) Maize, (C) Corn, (D) Rice
Answer is A. Ans. (a) WheatRef.: Harrison 19th ed. /1940* Coeliac disease is caused by a reaction to gliadin found in wheat, oats, rye and Barley. Upon exposure to gliadin, there is production of anti-tissue transglutaminase antibody which cross-reacts with small-bowel tissue, causing an inflammatory reaction.* This leads to villous atrophy and leads to osmotic diarrhea.