Waeber G, Pralong G, Breitenstein E, Nicod P
Service B, Département de Médecine, Lausanne.
Schweiz Med Wochenschr. 1993 Mar 13;123(10):432-4.
Gluten-induced enteropathy or coeliac disease is a condition characterized by malabsorption and a variety of clinical manifestations. In adults, coeliac disease may be discovered while investigating iron-deficient anemia, bone pain or unexplained weight loss. We have recently diagnosed a case of gluten-induced enteropathy in an elderly woman whose symptoms were unusual. The patient had episodes of laryngospasm secondary to severe hypocalcemia and hypomagnesemia. The malabsorption syndrome was responsible for low levels of vitamin D, causing the electrolytic imbalance. Laryngospasm is a rare symptom of hypocalcemia and has not, to our knowledge, been described in the context of coeliac disease.
麸质诱导的肠病或乳糜泻是一种以吸收不良和多种临床表现为特征的疾病。在成年人中，乳糜泻可能在对缺铁性贫血、骨痛或不明原因体重减轻进行调查时被发现。我们最近诊断了一例老年女性麸质诱导的肠病，其症状不寻常。该患者因严重低钙血症和低镁血症出现喉痉挛发作。吸收不良综合征导致维生素D水平低下，引起电解质失衡。喉痉挛是低钙血症的罕见症状，据我们所知，尚未在乳糜泻的背景下被描述过。
