Lodha Ankur, Haran Mehandi, Hollander Gerald, Frankel Robert, Shani Jacob
Department of Internal Medicine and the Division of Cardiology, Maimonides Medical Center, Brooklyn, NY, USA.
South Med J. 2009 Oct;102(10):1052-4. doi: 10.1097/SMJ.0b013e3181b64dd9.
Celiac disease is an intestinal disorder caused by an immunologic response to gluten, which results in diffuse damage to the proximal small intestinal mucosa with malabsorption of nutrients. An association between celiac disease and nonischemic dilated cardiomyopathy has been noted. Cardiomyopathy has been shown to improve in some patients on a gluten-free diet. We report a case of progressively worsening dilated cardiomyopathy in a patient with documented celiac disease.
乳糜泻是一种由对麸质的免疫反应引起的肠道疾病,会导致近端小肠黏膜弥漫性损伤并伴有营养物质吸收不良。乳糜泻与非缺血性扩张型心肌病之间的关联已被注意到。已证明一些患者在采用无麸质饮食后心肌病有所改善。我们报告一例有记录的乳糜泻患者出现进行性加重的扩张型心肌病的病例。