Latent coeliac disease or coeliac disease beyond villous atrophy?

Abstract
Coeliac disease is an autoimmune-mediated enteropathy triggered in genetically susceptible persons by the ingestion of a single dietary factor – wheat, rye and barley-derived gluten. The permanency of gluten intolerance was suggested in early studies, which showed that symptoms and intestinal lesions recurred usually within 2 years when gluten was reintroduced to the diet.1,2 Later it was recognised that the process of gluten-induced mucosal deterioration may take years or even decades in some individual cases.3,4