A small subset of patients with coeliac disease do not respond to therapy with a gluten-free diet. These individuals are considered to have refractory coeliac disease (RCD), of which there are two known subtypes. In this Review, the authors provide an overview of RCD discussing the pathogenesis, diagnosis and management of this condition.
- Tom van Gils
- Petula Nijeboer
- Chris J. J. Mulder