Cases of celiac disease have been reported in Central Europe many times, though less frequently than in the English-speaking world. The prognosis of the disease is the same as elsewhere. In a number of the cases death occurs, especially at the age of 2 or 3 years. Many patients have recovered if carefully nursed and if given a carefully planned diet. Restoration of health, that is, of the normal ability to absorb fat from the intestines, takes at least two and usually four to six years. Relaxation of dietetic control may cause quick deterioration, even in patients already relieved from clinical symptoms.
In the following case all the features of celiac disease appeared. The parasitologic examination of the feces revealed infection with Giardia, which suggested a therapy leading to an unusually rapid and effective cure.
REPORT OF A CASE
V. S., a boy, was admitted to the clinic at the