Teufel M, Bernau A, Niessen K H
Klin Padiatr. 1987 Jan-Feb;199(1):58-61. doi: 10.1055/s-2008-1026762.
We report on a girl who suffered from a severe left-sided Genu valgum. As there was a remarkable deterioration despite a conservative orthopedic therapy on osteotomy was planned. However, preoperative investigations revealed a malabsorption syndrome with osteomalacia due to coeliac disease. This gliadin-sensitive enteropathy had already been diagnosed and treated in infancy but had been ignored, since no abdominal symptoms had occurred after re-introduction of normal food. Four years after start of gliadin-free diet the false position of the left leg had disappeared and an operative correction had not to be performed.
我们报告了一名患有严重左侧膝外翻的女孩。尽管进行了保守的骨科截骨术治疗，但病情仍显著恶化，因此计划进行手术。然而，术前检查发现由于乳糜泻导致吸收不良综合征并伴有骨软化症。这种对麦醇溶蛋白敏感的肠病在婴儿期就已被诊断并接受治疗，但后来被忽视了，因为重新引入正常食物后没有出现腹部症状。在开始无麦醇溶蛋白饮食四年后，左腿的畸形消失，无需进行手术矫正。
