Celiac disease destroys the mucosa of the small intestine. This reduces the absorption of dietary nutrients and can lead to atrophy of the papillas of the tongue, which may be a signs of vitamin deficiencies.
This patient has a gluten-sensitive enteropathy or celiac disease. The large recurrent ulcerations healed with scar formation. Celiac disease is not usually considered a food allergy but rather an autoimmune disease. Tissue transglutaminase has been discovered to be the autoantigen against which the abnormal immune response is directed.