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Presidenta
Chinchilla
Vetoes
Coeliac
Care
Bill
Presidenta
Laura
Chinchilla
on
Thursday
vetoed
the
bill
for
the
care
of
people
with
Coeliac
disease.
According
to
the
government
there
are
contradictions
that
could
generate
confusion
and
excessive
requirements,
for
example
in
the
publication
and
registration
of
products
free
of
gluten.
With
the
presidenta's
veto,
the
bill
returns
to
the
legislative
assembly.
Opposition
legislators
said
they
were
"surprised"
by
the
decision
of
the
presidenta.
Coeliac
disease
is
an
autoimmune
disorder
of
the
small
intestine
that
occurs
in
genetically
predisposed
people
of
all
ages
from
middle
infancy
onward.
Symptoms
include
chronic
diarrhoea,
failure
to
thrive
(in
children),
and
fatigue,
but
these
may
be
absent,
and
symptoms
in
other
organ
systems
have
been
described.
A
growing
portion
of
diagnoses
are
being
made
in
asymptomatic
persons
as a
result
of
increased
screening
Coeliac
disease
is
caused
by a
reaction
to
gliadin,
a
prolamin
(gluten
protein)
found
in
wheat,
and
similar
proteins
found
in
the
crops
of
the
tribe
Triticeae
(which
includes
other
common
grains
such
as
barley
and
rye).
Upon
exposure
to
gliadin,
and
specifically
to
three
peptides
found
in
prolamins,
the
enzyme
tissue
transglutaminase
modifies
the
protein,
and
the
immune
system
cross-reacts
with
the
small-bowel
tissue,
causing
an
inflammatory
reaction.
That
leads
to a
truncating
of
the
villi
lining
the
small
intestine
(called
villous
atrophy).
This
interferes
with
the
absorption
of
nutrients,
because
the
intestinal
villi
are
responsible
for
absorption.
The
only
known
effective
treatment
is a
lifelong
gluten-free
diet.[5]
While
the
disease
is
caused
by a
reaction
to
wheat
proteins,
it
is
not
the
same
as
wheat
allergy.
This
condition
has
several
other
names,
including:
cœliac
disease
(with
œ
ligature),
c(o)eliac
sprue,
non-tropical
sprue,
endemic
sprue,
gluten
enteropathy
or
gluten-sensitive
enteropathy,
and
gluten
intolerance.
The
term
coeliac
derives
from
the
Greek
κοιλιακός
(koiliakόs,
"abdominal"),
and
was
introduced
in
the
19th
century
in a
translation
of
what
is
generally
regarded
as
an
ancient
Greek
description
of
the
disease
by
Aretaeus
of
Cappadocia.
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