Tetany caused by chronic diarrhea in a child with celiac disease: A case report
Tóm tắt
There is no awareness about celiac disease (CD) in Mexico. A 2.9 year old mestizo boy was admitted to a Mexican hospital with muscle cramps and fine tremors. He suffered chronic diarrhea, abdominal distention, hypotrophic limbs, stunting and wasting, and presented hypocalcemia, anemia and high titers of serological markers. Diagnosis of CD was confirmed by a duodenal biopsy. After replacement of calcium and a gluten-free diet, the symptoms resolved within 6 weeks. After 2-months, serum analyses, anthropometric data as well as antibodies titers were normal after 4 years. CD screening tests are needed in chronic diarrhea for any ethnicity patients.
Tài liệu tham khảo
Green PHR, Cellier C: Celiac disease. New England J Med. 2007, 357: 1731-43. 10.1056/NEJMra071600.
Rodrigo L: Celiac disease. World J Gastroenterol. 2006, 12: 6585-6593.
Ciclitira PJ, King AL, Fraser JS: AGA Technical review on celiac sprue. American Gastroenterological Association. Gastroenterology. 2001, 120: 1526-40.
Remes-Troche JM, Ramírez-Iglesias MT, Rubio-Tapia A, Alonso-Ramos A, Velazquez A, Uscanga LF: Celiac disease could be a frequent disease in Mexico: prevalence of tissue transglutaminase antibody in healthy blood donors. J Clin Gastroenterol. 2006, 40: 697-700. 10.1097/00004836-200609000-00007.
Gupta T, Mandot A, Desai D, Abraham P, Joshi A: Celiac crisis with hypokalemic paralysis in a young lady. Indian J Gastroenterol. 2006, 25: 259-60.
Lagerqvist C, Ivarsson A, Juto P, Persson LÅ, Hernell O: Screening for adult coeliac disease – which serological marker(s) to use?. J Internal Med. 2001, 250: 241-48. 10.1046/j.1365-2796.2001.00891.x.
Ukleja A, Scolapio JS: Tetany and profound diarrhea – A diagnostic combination you cannot miss. Am J Gastroenterol. 2000, 95: 1598-99.
Cabrera-Chavez F, Rouzaud-Sandez O, Sotelo-Cruz N, Calderon de la Barca AM: Transglutaminase treatment of wheat and maize prolamins of bread increases the serum IgA reactivity of celiac disease patients. J Agric Food Chem. 2008, 56: 1387-1391. 10.1021/jf0724163.
Urbanski SJ: Controversial issue: Can duodenal mucosa appear normal in gluten-sensitive enteropathy (celiac disease)?. Int J Surg Pathol. 1998, 6: 49-54. 10.1177/106689699800600110.
Ortega MI, Valencia ME: Measuring the intakes of foods and nutrients of marginal populations in north-west Mexico. Public Health Nutr. 2002, 5: 907-10. 10.1079/PHN2002379.
Farrell RJ, Kelly CP: Diagnosis of celiac sprue. Am J Gastroenterol. 2001, 96: 3237-46. 10.1111/j.1572-0241.2001.05320.x.