Cano Ruiz A, Barbado Hernández F J, Martín Scapa M A, Gómez-Cerezo J, Vázquez Rodríguez J J
Servicio de Gastroenterología, Hospital Ramón y Cajal, Madrid.
An Med Interna. 1996 Dec;13(12):592-4.
Tetany is a rare form of presentation of adult celiac disease. We present three patients with spontaneous episodes of tetania who were finally diagnosed of celiac disease. All were women. In two of them an unexplained chronic anemia was previously detected. The origin of tetania was severe hypocalcemia and hypomagnesemia. After intravenous restoration of calcium and posterior free gluten diet with supplements, clinical and biological remission was achieved. In the presence of isolated tetania or unexplained anemia resistant to treatment an adult celiac disease must be disclosed.
手足搐搦是成人乳糜泻一种罕见的表现形式。我们报告了3例有自发性手足搐搦发作的患者，最终被诊断为乳糜泻。患者均为女性。其中2例之前检测到不明原因的慢性贫血。手足搐搦的根源是严重低钙血症和低镁血症。静脉补充钙剂并随后采用无麸质饮食加补充剂治疗后，实现了临床和生物学缓解。在出现孤立性手足搐搦或对治疗有抵抗性的不明原因贫血时，必须排查成人乳糜泻。
