Adelizzi R A, Pecora A A, Chiesa J C
Am J Gastroenterol. 1982 Jul;77(7):481-5.
A case is presented of a patient with biopsy documented celiac disease who presented with an acute arthropathy along with symptoms of malabsorption. The etiology of the arthropathy could not be determined; however, the temporal relationship of the presenting manifestations (i.e., malabsorption and the arthropathy) as well as lack of further gastrointestinal of joint symptoms after 2 yr of follow-up suggest that in this case the arthropathy was related to the patient's celiac disease. Possible pathogenetic mechanisms for this heretofore unreported relationship are also presented.
本文报告了一例经活检证实为乳糜泻的患者,该患者出现急性关节病并伴有吸收不良症状。关节病的病因无法确定;然而,目前临床表现(即吸收不良和关节病)的时间关系以及随访2年后未出现进一步的胃肠道或关节症状表明,该病例中的关节病与患者的乳糜泻有关。本文还提出了这种此前未报道的关系可能的发病机制。