Stenhammar L, Klintberg B, Tevebring J, Henriksson K G
Department of Paediatrics, Visby Hospital, Linköping, Sweden.
Acta Paediatr. 1995 Jun;84(6):707-8. doi: 10.1111/j.1651-2227.1995.tb13738.x.
A 13-month-old boy presented with elevated serum aminotransferases and a flat small bowel mucosa indicating coeliac disease. He improved clinically on a gluten-free diet but serum aminotransferases continued to increase. This was found to be caused by an occult Duchenne muscular dystrophy. The case illustrates the fact that the finding of elevated serum aminotransferases in a coeliac child on a gluten-free diet should indicate that further investigations are needed to exclude coexisting disease.
一名13个月大的男孩出现血清转氨酶升高，小肠黏膜扁平，提示患有乳糜泻。他在无麸质饮食后临床症状有所改善，但血清转氨酶持续升高。结果发现这是由隐匿性杜氏肌营养不良症引起的。该病例表明，在接受无麸质饮食的乳糜泻患儿中发现血清转氨酶升高，应提示需要进一步检查以排除并存疾病。
