Cooney Megan J, El-Matary Wael
Department of Pediatrics, AE405-840 Sherbrook Street, Winnipeg, MB, Canada R3A 1S1.
Case Rep Gastrointest Med. 2013;2013:676327. doi: 10.1155/2013/676327. Epub 2013 Jul 18.
Celiac disease (CD) is a common autoimmune enteropathy that occurs, in affected individuals, with exposure to gluten in the diet and improves with removal of dietary gluten. Although CD is readily considered in patients with classical presentations of the disease, atypical manifestations may be the only presenting symptoms. We present a case of CD in a 16-year-old female presenting as fever of unknown origin, which has not been reported previously. The postulated mechanism for fever in CD and the importance of clinicians having a low threshold for considering CD in the differential diagnosis of fever of unknown origin and other enigmatic clinical presentations is discussed.
乳糜泻（CD）是一种常见的自身免疫性肠病，在受影响的个体中，饮食中摄入麸质会引发该病，而去除饮食中的麸质后病情会改善。尽管患有典型症状的患者很容易被诊断为CD，但非典型表现可能是唯一的症状。我们报告一例16岁女性乳糜泻病例，其最初表现为不明原因发热，此前未见相关报道。本文讨论了CD发热的推测机制，以及临床医生在不明原因发热和其他疑难临床表现的鉴别诊断中，应低阈值考虑CD的重要性。
