CHANGING CONSUMPTION PATTERN OF RURAL PEOPLE IN THE LINES OF NEW ECONOMIC POLICY IN INDIA

Mrs.V.Kanimozhi; Dr.N.Kannan

Volume : VI, Issue : XI, November - 2017

CHANGING CONSUMPTION PATTERN OF RURAL PEOPLE IN THE LINES OF NEW ECONOMIC POLICY IN INDIA

Mrs. V. Kanimozhi, Dr. N. Kannan

Abstract :

Refractory celiac disease (RCD) is defined as a clinical complicated variant of celiac disease (CD), characterized by the persistence of recurrent malabsorption symptoms and villous atrophy, despite a strict adherence to a gluten-free diet (GFD) for at least 6-12 months, in the absence of other causes of non-response and overt associated any type of cancer. The prognosis is dismal and fortunately its prevalence is very rare, being estimated, in less than 5% of CD diagnosed total population.

We describe the onset of this complication in the same family, affecting two siblings, a man of 59 years with a progressive myoclonic ataxia and a woman of 50 years, with an jejunal localization of an enteropathy-associated T-cell lymploma (EATL). Both died within a few months after the onset of their RCD, as a consequence of the associated complications of the illness.

For establishing a firm diagnosis it is necessary to confirm the presence of abnormal changes in the intraepithelial lymphocyte population. These patients did not express the surface receptors (CD3 and CD8) and had a positive monoclonal detection of T receptor chains confirmed in both siblings, as positive markers of immunological diagnosis of RCD-2 type in these patients, according to an aggressive clinical course and a poor prognosis.

The family association of this important complication (RCD-type II) is remarkable and the neurologic complication of a myoclonic ataxia is very uncommon.