Moore Megan Elizabeth, Talat Fawad, Talanian Michael, Allison Harmony
University of Colorado Internal Medicine Residency Program, Denver, Colorado.
Department of Medicine, King Edward Medical University, Lahore, Pakistan.
ACG Case Rep J. 2024 Apr 6;11(4):e01329. doi: 10.14309/crj.0000000000001329. eCollection 2024 Apr.
Celiac disease (CD) is associated with several neurological diseases. We report a case of a 25-year-old man with CD that was discovered during hospitalization for acute transverse myelitis. The diagnosis of CD was suspected after positive serological tests and was confirmed with duodenal biopsy. Steroid pulse therapy and plasma exchange stabilized the patient's condition. The patient started a gluten-free diet and rituximab therapy before discharge. Although the association of CD with various neurological diseases is well established, this case report describes a less explored association between CD and transverse myelitis.
乳糜泻（CD）与多种神经系统疾病相关。我们报告一例25岁男性乳糜泻患者，该患者在因急性横贯性脊髓炎住院期间被发现。血清学检查呈阳性后怀疑患有乳糜泻，并经十二指肠活检确诊。类固醇冲击疗法和血浆置换使患者病情稳定。患者在出院前开始了无麸质饮食和利妥昔单抗治疗。虽然乳糜泻与各种神经系统疾病的关联已得到充分证实，但本病例报告描述了乳糜泻与横贯性脊髓炎之间一种较少被探索的关联。
