Nielsen Allan Byback
Ugeskr Laeger. 2018 Jun 25;180(26).
We present a case report of a three-year-old girl of Pakistani origin with coeliac disease. The first symptom was spontaneous fracture of the fibula. Vitamin D deficiency rickets and iron deficiency anaemia were demonstrated. An intestinal biopsy and elevated antibody levels confirmed the coeliac disease. Rickets is a known but rare presentation of coeliac disease, but this case report illustrates, how coeliac disease in children often presents with non-gastrointestinal symptoms. The importance of investigations for malabsorp-tion, if iron deficiency is not easily corrected with sufficient iron supplements, is underlined as well as the importance of screening for coeliac disease.
我们报告一例源于巴基斯坦的3岁患乳糜泻女童的病例。首发症状为腓骨自发性骨折。诊断出维生素D缺乏性佝偻病和缺铁性贫血。肠道活检及抗体水平升高确诊为乳糜泻。佝偻病是乳糜泻一种已知但罕见的表现形式，本病例报告表明，儿童乳糜泻常表现为非胃肠道症状。强调了如果缺铁不能通过充足的铁补充剂轻易纠正时进行吸收不良检查的重要性，以及筛查乳糜泻的重要性。
