Celiac Syndrome

THE clinical recognition of congenital pancreatic deficiency has become more frequent in recent years with the clearer delineation of the clinical features of the disease and the possibility of confirming the diagnosis by assay of the duodenal juice for pancreatic enzymes,¹The problems of therapy have become correspondingly pressing. Treatment directed toward the nutritional difficulty has been discussed in a previous paper.²Treatment of infection of the respiratory tract forms the subject of the present report. There is evidently a close relationship between the nutritional difficulty and the infection of the respiratory tract, since the latter has not appeared in those few patients who have received appropriate dietary therapy prior to the onset of a chronic cough.²It seems reasonable to believe that the failure of these children to absorb adequate amounts of vitamin A on a normal diet may contribute to their susceptibility to bronchitis, but