Very little has been added to our clinical knowledge of chronic intestinal indigestion (celiac disease) since Samuel Gee's1 paper, in 1888. His lucid description is partly as follows:
It often begins during the second year of life. Signs of the disease are yielded by the faeces; being loose, not formed, but not watery; more bulky than the food taken would seem to account for; pale in color as if devoid of bile; yeasty, frothy, an appearance probably due to fermentation. The pale, loose stools look very much like oatmeal porridge or gruel....
The onset is usually gradual, so that its time is hard to fix. Sometimes the complaint sets in suddenly, like an accidental diarrhea; but even when it is so, the nature of the disease soon shows itself. The patient wastes more in the limbs than in the face, which often remains plump until death is nigh. The
SAUER LW. CELIAC DISEASE (CHRONIC INTESTINAL INDIGESTION): A SIMPLE, THREE-PHASED, HIGH PROTEIN DIET. Am J Dis Child. 1925;29(2):155–173. doi:10.1001/archpedi.1925.04120260003001
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