Test before diet change: Refer to the physician for serology while the patient is still eating gluten; starting a gluten-free diet before testing can produce a false-negative result.
Product ingredients: Verify ingredients when a product may be swallowed; use gluten-free alternatives when indicated
Protect enamel: Restore or protect hypoplastic enamel; fluoride varnish
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Symmetric enamel defects and recurrent aphthae prompt assessment rather than establish celiac disease. Physician-directed testing should occur while the child is still eating gluten; IgA deficiency affects test choice.
Symmetric enamel defects and recurrent aphthae prompt assessment rather than establish celiac disease. Physician-directed testing should occur while the child is still eating gluten; IgA deficiency affects test choice.