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Dumb Question.....

DingoGirl

By DingoGirl
in Related Issues & Disorders

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DingoGirl Enthusiast
DingoGirl
Posted

Hello all,

Without doing vast amounts of research...and feeling kind of ignorant about this, can anyone quickly tell me if there's any difference between Celiac, Celiac Sprue, tropical sprue, or just "sprue?" There was a post on here just using the word SPRUE - is that a variation of Celiac, or just another name for it?

Thanks! Just trying to figure all this out and don't have time to research at the moment! :)

Susan

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trents Grand Master
trents
Posted

"Celiac", "Celiac sprue", "nontropical sprue" and "sprue" all refer to "gluten sensitive enteropathy". "Tropical sprue" is another disease altogether, unrelated to gluten sensitivity. My impression is that "sprue" is an older term that is being replaced in current usage by the term "Celiac".

Steve

jaten Enthusiast
jaten
Posted
"Celiac", "Celiac sprue", "nontropical sprue" and "sprue" all refer to "gluten sensitive enteropathy". "Tropical sprue" is another disease altogether, unrelated to gluten sensitivity. My impression is that "sprue" is an older term that is being replaced in current usage by the term "Celiac".

Steve

Yep, all of that is my understanding as well. Only point I'm not sure of is whether or not "sprue" is an older term. May be. I just know that my GI prefers that to Celiac. You know I don't even remember why. He did tell me, but he definitely uses "Sprue" and sometimes "Celiac Sprue" in reference to my disease, but he doesn't use "Celiac."

DingoGirl Enthusiast
DingoGirl
Posted
  • Author

Thanks for those answers....makes sense. Forgot to ask what "refractory sprue" is..... :blink:

jaten Enthusiast
jaten
Posted
Thanks for those answers....makes sense. Forgot to ask what "refractory sprue" is..... :blink:

Basically, refractory sprue means that despite a strict gluten-free diet the villi do not heal over time. A steroid (predniosne, etc.) is the treatment for refractory sprue. It can, however, be very difficult to treat.

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      The body reacts to all grain proteins in all grains from my observation. Call it Gluten, Gliadin, which is what they test for commonly, however, I am Celiac and react with dermatitis herpetiformis to corn and the glutenous protein in it is called Zein. They only test for Gliadin. Testing needs to be updated in my opinion. It only take a small parts per million to continuously create systemic inflammation. This is not productive to healing and all grains contain some for gluten like substance. It's called Molecular Mimicry.
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