Mühling O, El-Nounou M, Schäfer C, Mühlbayer D, Tympner C, Behr J
Medizinische Klinik und Poliklinik I, Ludwig-Maximilians-Universität München, München.
Internist (Berl). 2006 Dec;47(12):1279-82. doi: 10.1007/s00108-006-1729-1.
We report on a 52-year-old female patient with recurrent neurosarcoidosis and an "atypical" course of celiac disease, with mild clinic features, positive IgA-antibodies and histology. In our patient, the IgA-antibodies led to a false positive troponin I test, and we initially suspected an acute coronary syndrome. With dietary treatment of the celiac disease, the antibodies decreased and the troponin I test became negative. The coincidental occurrence of sarcoidosis and "potential" celiac disease (positive antibodies only) has been reported. The coincidence of an "atypical" celiac disease and sarcoidosis is rare.
我们报告了一名52岁的女性患者，患有复发性神经结节病和“非典型”乳糜泻病程，临床症状轻微，IgA抗体和组织学检查呈阳性。在我们的患者中，IgA抗体导致肌钙蛋白I检测出现假阳性，我们最初怀疑是急性冠状动脉综合征。通过对乳糜泻进行饮食治疗，抗体水平下降，肌钙蛋白I检测结果变为阴性。结节病与“潜在”乳糜泻（仅抗体阳性）的巧合情况已有报道。“非典型”乳糜泻与结节病的巧合较为罕见。
