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Celiac disease and spinocerebellar degeneration with normal vitamin E status

Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

We studied a 47-year-old man with spinocerebellar degeneration and malabsorption due to celiac enteropathy; the serum vitamin E level was normal. The neurologic disorder initially deteriorated despite improvement of small bowel histology on a gluten-free diet and vitamin E therapy, but later stabilized. The etiology of the neurologic disorder in adult celiac disease has not been identified and does not appear to be vitamin E deficiency.

Address correspondence and reprint requests to Dr. Greenberg, Room #6356, Medical Sciences Building, University of Toronto, Toronto, Ontario, Canada M6S 1A8.

Accepted for publication November 16, 1984.

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