Pediatric Patient with a Celiac Crisis (Rare Presentation of a Common Disease) Case Report and Literature Review
Journal Title: Journal of Case Reports and Studies - Year 2018, Vol 6, Issue 4
Abstract
Celiac disease (CD) is a systemic chronic immune-mediated disorder that is associated with weight loss, diarrhea, and laboratory abnormalities. Celiac disease (CD) is a disease in which the mucosal lining of the small intestine is damaged in response to the ingestion of gluten and similar proteins, which are found in wheat, oats, rye, barley and other grains. Children with CD are very common. Celiac crisis is a life-threatening syndrome in which patients with celiac disease have profuse diarrhea and severe metabolic disturbances. Celiac crisis is rare among the pediatric age group and not well documented. To improve awareness of this condition and to facilitate diagnosis, we reviewed cases of celiac crisis to identify presenting features and treatment strategies. We present a 3-year-old boy who presented with severe weight loss, severe diarrhea, vomiting, abdominal distension, and lower limb edema. There was persistent hypoalbuminemia, hypokalemia, hypophosphatemia, and hypomagnesemia. Celiac disease was confirmed by histopathology, and the patient’s condition improved on a gluten-free diet with a short duration of steroids.
Authors and Affiliations
Alharbi AO
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