Rana Surinder S, Sharma Vishal, Rao Chalapathi, Singh Kartar, Bhasin Deepak K
Department of Gastroenterology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India.
Ann Gastroenterol. 2012;25(3):271-273.
Celiac disease commonly presents with diarrhea but variable presentation with anemia, osteoporosis, incidental recognition, and liver function abnormalities is also known. Overt blood loss is uncommon in celiac disease. We present the case of a 60-year-old female who presented with obscure gastrointestinal blood loss for more than a decade necessitating multiple transfusions and was eventually diagnosed to have celiac disease. After introduction of gluten-free diet, her symptoms improved and there has been no recurrence of gastrointestinal bleeding.
乳糜泻通常表现为腹泻,但也已知其会有贫血、骨质疏松、偶然发现及肝功能异常等多种表现形式。乳糜泻中明显的失血情况并不常见。我们报告一例60岁女性病例,该患者有超过十年原因不明的胃肠道失血,需要多次输血,最终被诊断为乳糜泻。采用无麸质饮食后,她的症状有所改善,且胃肠道出血未再复发。