Schattner A
Department of Medicine, Stanford University School of Medicine, California, USA.
Yale J Biol Med. 1999 Jan-Feb;72(1):15-8.
An elderly man was diagnosed with celiac disease, which presented with three notable features: first, presentation at the age of 70 with no prior gastrointestinal symptomatology or positive family history; second, triggering of all symptoms following recent myocardial infarction and infective endocarditis; third, presentation with marked (more than 20 percent) weight loss and pellagra-like skin lesions despite nearly normal examination and laboratory tests. Thus, celiac disease may present as a pellagra-like syndrome in the elderly with predominant weight loss that is enhanced by the related taste disturbances.
一名老年男性被诊断为乳糜泻，该病有三个显著特征：其一，70岁发病，此前无胃肠道症状或家族病史阳性；其二，近期心肌梗死和感染性心内膜炎后引发所有症状；其三，尽管检查和实验室检查基本正常，但仍出现显著（超过20%）体重减轻和糙皮病样皮肤病变。因此，乳糜泻在老年人中可能表现为以体重减轻为主的糙皮病样综合征，相关味觉障碍会加重这种体重减轻。
