Kravchuk Stanislav, Mishchanchuk Viktor, Kozyk Marko, Strubchevska Kateryna
Internal Medicine, Novovolynsk Central City Hospital, Novovolynsk, UKR.
Infectious Diseases, Chortkiv Central City Hospital, Chortkiv, UKR.
Cureus. 2023 Mar 2;15(3):e35696. doi: 10.7759/cureus.35696. eCollection 2023 Mar.
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.
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。