[手足搐搦——乳糜泻的首发症状]
[Tetany--a first symptom of celiac disease].
作者信息
Moltu S J, Bentsen B S
机构信息
Barneavdelingen Sentralsykehuset Ostfold Fredrikstad.
出版信息
Tidsskr Nor Laegeforen. 2000 Mar 30;120(9):1034-6.
BACKGROUND
Seizures in children are usually caused by fever or epilepsy, though they may also be caused by electrolyte, vitamin or mineral disturbances. We describe a case of hypocalcaemic tetany with hypovitaminosis D.
MATERIAL AND METHODS
The patient was a previously healthy eight months old girl of Indian origin.
RESULTS
Investigations revealed that she suffered from coeliac disease.
INTERPRETATION
Coeliac disease is a well-known disorder, characterised by enteropathy and malabsorption causing symptoms such as vomiting, diarrhoea and failure to thrive. Enteropathy and specific malnutrition may occur in the total absence of gastrointestinal symptoms.
背景
儿童癫痫发作通常由发热或癫痫引起，不过也可能由电解质、维生素或矿物质紊乱所致。我们描述一例维生素D缺乏性低钙性手足搐搦病例。
材料与方法
患者是一名来自印度的8个月大女童，此前身体健康。
结果
检查发现她患有乳糜泻。
解读
乳糜泻是一种众所周知的疾病，其特征为肠病和吸收不良，可导致呕吐、腹泻和发育不良等症状。即使完全没有胃肠道症状，也可能发生肠病和特定的营养不良。
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