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乳糜泻患儿慢性腹泻所致手足搐搦:一例报告

Tetany caused by chronic diarrhea in a child with celiac disease: A case report.

作者信息

Hurtado-Valenzuela Jaime Gabriel, Sotelo-Cruz Norberto, López-Cervantes Guillermo, de la Barca Ana María Calderón

机构信息

Departamento de Medicina Interna, Hospital Infantil del Estado de Sonora, Av, Reforma No, 355 Norte, Colonia Ley 57, Hermosillo 83000, Sonora, México.

出版信息

Cases J. 2008 Sep 23;1(1):176. doi: 10.1186/1757-1626-1-176.

DOI:10.1186/1757-1626-1-176
PMID:18811963
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2559825/
Abstract

There is no awareness about celiac disease (CD) in Mexico. A 2.9 year old mestizo boy was admitted to a Mexican hospital with muscle cramps and fine tremors. He suffered chronic diarrhea, abdominal distention, hypotrophic limbs, stunting and wasting, and presented hypocalcemia, anemia and high titers of serological markers. Diagnosis of CD was confirmed by a duodenal biopsy. After replacement of calcium and a gluten-free diet, the symptoms resolved within 6 weeks. After 2-months, serum analyses, anthropometric data as well as antibodies titers were normal after 4 years. CD screening tests are needed in chronic diarrhea for any ethnicity patients.

摘要

墨西哥对乳糜泻(CD)尚无认知。一名2.9岁的混血男孩因肌肉痉挛和细微震颤入住墨西哥一家医院。他患有慢性腹泻、腹胀、四肢发育不良、发育迟缓及消瘦,并出现低钙血症、贫血和高滴度血清学标志物。十二指肠活检确诊为乳糜泻。补充钙并采用无麸质饮食后,症状在6周内缓解。2个月后,4年后血清分析、人体测量数据及抗体滴度均正常。对于任何种族的慢性腹泻患者都需要进行乳糜泻筛查。

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