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一名患有1型糖尿病且伴有神经症状的成人乳糜泻危象的临床病例。

A Clinical Case of a Celiac Crisis in an Adult With Type 1 Diabetes and Neurological Symptoms.

作者信息

Kravchuk Stanislav, Mishchanchuk Viktor, Kozyk Marko, Strubchevska Kateryna

机构信息

Internal Medicine, Novovolynsk Central City Hospital, Novovolynsk, UKR.

Infectious Diseases, Chortkiv Central City Hospital, Chortkiv, UKR.

出版信息

Cureus. 2023 Mar 2;15(3):e35696. doi: 10.7759/cureus.35696. eCollection 2023 Mar.

Abstract

We are reporting a case of a severe variant of celiac disease (celiac crisis) in an otherwise healthy 34-year-old woman presenting a history of weight loss, and neurological and metabolic disorders. After starting a gluten-free diet, the patient's condition improved significantly, and ascites and hydrothorax disappeared. The celiac crisis remains a rare manifestation of celiac disease among the adult population, however, a gluten-free diet should be considered in patients with marked metabolic disturbances even without significant osmotic diarrhea.

摘要

我们报告了一例乳糜泻严重变异型(乳糜泻危象)的病例,患者为一名34岁原本健康的女性,有体重减轻、神经和代谢紊乱病史。开始无麸质饮食后,患者病情显著改善,腹水和胸腔积液消失。乳糜泻危象在成人中仍然是乳糜泻的罕见表现,然而,即使没有明显的渗透性腹泻,对于有明显代谢紊乱的患者也应考虑采用无麸质饮食。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaf0/10065374/a7d8797910fd/cureus-0015-00000035696-i01.jpg

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