Selmi Olfa, Khalid Banan, Al-Nuaimi Saleem
Mental Health Service, Hamad Medical Corporation, Doha, QAT.
Cureus. 2023 Jul 13;15(7):e41807. doi: 10.7759/cureus.41807. eCollection 2023 Jul.
Nonceliac gluten sensitivity is a gluten-related disorder that results from immune-mediated reactions in predisposed people. It manifests usually with gastrointestinal symptoms; however, in rare cases, it might present with psychiatric symptoms that could be severe enough to impair functioning. In this case report, we present a case of a 15-year-old girl, with no past psychiatric history, who presented to the Emergency Department (ED) with anxiety symptoms and paranoid delusion that did not improve on conventional treatment. However, a significant improvement was observed upon starting on a strict gluten-free diet (GFD). This case adds to the existing literature, suggesting a possible strong relationship between gluten ingestion and psychiatric disorders.
非乳糜泻性麸质敏感是一种与麸质相关的疾病,由易感人群的免疫介导反应引起。它通常表现为胃肠道症状;然而,在罕见情况下,可能会出现严重到足以影响功能的精神症状。在本病例报告中,我们介绍了一名15岁女孩的病例,她既往无精神病史,因焦虑症状和偏执妄想就诊于急诊科,常规治疗无效。然而,开始严格的无麸质饮食(GFD)后观察到显著改善。该病例补充了现有文献,表明摄入麸质与精神障碍之间可能存在密切关系。