Gupta Tarun, Mandot Ameet, Desai Devendra, Abraham Philip, Joshi Anand
Division of Gastroenterology, P D Hinduja Hospital and Medical Research Center, Mumbai 400 016, India.
Indian J Gastroenterol. 2006 Sep-Oct;25(5):259-60.
Celiac crisis presents as severe acute diarrhea with life-threatening metabolic derangement in a patient with celiac disease. We report a 30-year-old lady who was admitted with one-month history of worsening small bowel-type diarrhea. She developed acute quadriparesis due to refractory hypokalemia. Celiac disease was diagnosed on the basis of positive serology and histological features. She improved with aggressive correction of hypokalemia and gluten-free diet. Celiac crisis is a rare presentation of this heterogeneous disease in adulthood.
乳糜泻危象表现为患有乳糜泻的患者出现严重急性腹泻并伴有危及生命的代谢紊乱。我们报告一名30岁女性,因小肠型腹泻恶化1个月入院。她因难治性低钾血症出现急性四肢瘫。根据血清学阳性和组织学特征诊断为乳糜泻。通过积极纠正低钾血症和无麸质饮食,她的病情有所改善。乳糜泻危象是这种异质性疾病在成年期的一种罕见表现。