Matsueda K, Rosenberg I H
Dig Dis Sci. 1982 Mar;27(3):269-73. doi: 10.1007/BF01296927.
Our study suggests that coexisting celiac sprue is one of the mechanisms responsible for the malabsorption associated with idiopathic hypoparathyroidism. Celiac sprue is relatively common, and this association could occur by coincidence. Alternately there may be shared determinants of susceptibility or perhaps a direct immunological relationship. In such patients, both gluten-free diet and correction of the hypoparathyroid state may be necessary to correct malabsorption. In our literature survey, this is the first case in which celiac sprue associated with idiopathic hypoparathyroidism was documented. The importance of intestinal biopsy in evaluating malabsorption in patients with idiopathic hypoparathyroidism is emphasized.
我们的研究表明，并存的乳糜泻是与特发性甲状旁腺功能减退相关的吸收不良的机制之一。乳糜泻相对常见，这种关联可能是巧合。或者可能存在共同的易感性决定因素，或者也许存在直接的免疫关系。在此类患者中，可能需要无麸质饮食和纠正甲状旁腺功能减退状态以纠正吸收不良。在我们的文献检索中，这是首例记录在案的乳糜泻与特发性甲状旁腺功能减退相关的病例。强调了肠道活检在评估特发性甲状旁腺功能减退患者吸收不良中的重要性。
