Tiwari Abhinav, Qamar Khola, Sharma Himani, Almadani Sameh Bashar
Department of Internal Medicine, University of Toledo Medical Center, Toledo, Ohio, USA.
Department of Gastroenterology, University of Toledo Medical Center, Toledo, Ohio, USA.
Case Rep Gastroenterol. 2017 May 30;11(2):364-368. doi: 10.1159/000475921. eCollection 2017 May-Aug.
Celiac crisis is a rare life-threatening presentation of celiac disease that manifests as profuse diarrhea, hypoproteinemia, and severe metabolic disturbances. It may be precipitated by a general immune stimulus such as surgery, infection, or pregnancy. We report the case of a 26-year-old woman who presented with a celiac crisis, potentially triggered by a preceding urinary tract infection. Metabolic derangement is caused by malabsorption and profuse diarrhea, which can be unremitting unless the celiac crisis is recognized, and treatment with gluten restriction is initiated.
乳糜泻危象是乳糜泻一种罕见的危及生命的表现形式，表现为大量腹泻、低蛋白血症和严重的代谢紊乱。它可能由手术、感染或妊娠等全身性免疫刺激诱发。我们报告了一例26岁女性患者，她出现了乳糜泻危象，可能是由之前的尿路感染引发的。代谢紊乱是由吸收不良和大量腹泻引起的，除非认识到乳糜泻危象并开始采用无麸质饮食治疗，否则腹泻可能会持续不止。
