Cabrera Chaves T, Gomollón García F, Simón Marco M A, Uribarrena Echevarría R, Alvarez Alegret R
Servicio de Aparato Digestivo. Hospital Miguel Servet, Zaragoza.
Rev Clin Esp. 1996 Jan;196(1):28-31.
Coeliac disease is the most frequent malabsortive syndrome in daily practice. However, its true prevalence is not exactly known. The symptoms vary from patient to patient, ranging from the classic presentation with diarrhea, weight loss and fatigue to oligosymptomatic forms, being the latter more common in adults. We report two patients in which urinary and skin spontaneous hemorrhage were the only symptoms, and led to the diagnosis. We insist on the importance of considering the diagnosis of coeliac disease in patients with this kind of clinical manifestations. The early diagnosis will allow us to reduce both the morbidity and mortality in coeliac patients.
乳糜泻是日常临床实践中最常见的吸收不良综合征。然而，其确切患病率尚不清楚。症状因人而异，从伴有腹泻、体重减轻和疲劳的典型表现到症状较少的形式，后者在成年人中更为常见。我们报告了两名患者，其唯一症状是自发性血尿和皮肤出血，并由此得以确诊。我们强调对于有此类临床表现的患者考虑乳糜泻诊断的重要性。早期诊断将有助于降低乳糜泻患者的发病率和死亡率。
