Silent Celiac Disease in an obese patient
DOI:
https://doi.org/10.31053/1853.0605.v74.n4.16888Keywords:
celiac disease, intestinal atrophy, obesityAbstract
We present an obese patient who underwent high digestive endoscopy due to dysphagia after accidental ingestion of chicken bone. There is mild reflux oesophagitis and duodenal atrophy. Intestinal biopsy reports severe villous atrophy with lymphoplasmocytic infiltrate. Autoantibodies for celiac disease return positive. The patient never presented digestive symptoms.
Downloads
References
1. Schumann M, Siegmund B, Schulzke JD, Fromm M. Celiac disease: role of the epithelial barrier. Cell Mol Gastroenterol Hepatol. 2017 Jan 14;3(2):150-162. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5331784/
2. Nadhem ON, Azeez G, Smalligan RD, Urban S. Review and practice guidelines for celiac disease in 2014. Postgrad Med. 2015 Apr;127(3):259-65.http://www.tandfonline.com/doi/abs/10.1080/00325481.2015.1015926?journalCode=ipgm20
3. Vandenplas Y. Lactose intolerance. Asia Pac J Clin Nutr. 2015;24 Suppl 1:S9-13. http://apjcn.nhri.org.tw/server/APJCN/24%20Suppl%201//S9.pdf
4. Diamanti A, Capriati T, Basso MS, Panetta F, Di Ciommo Laurora VM, et al. Celiac disease and overweight in children: an update. Nutrients. 2014 Jan 2;6(1):207-20. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3916856/
5. Nenna R, Nenna R, Mosca A, Mennini M, Papa RE, et al. Coeliac disease screening among a large cohort of overweight/obese children. J Pediatr Gastroenterol Nutr. 2015 Mar;60(3):405-7. doi: 10.1097/MPG.0000000000000656.
6. Poddar U. Pediatric and adult celiac disease: similarities and differences. Indian J Gastroenterol. 2013 Sep;32(5):283-8. https://link.springer.com/article/10.1007%2Fs12664-013-0339-9
7. Cuenca-Abente F, Nachman F, Bai JC. Diagnosis of celiac disease during pre-operative work-up for bariatric surgery. Acta Gastroenterol Latinoam. 2012 Dec;42(4):321-4. http://actagastro.org/indice-vol-42-n4-de-2012/
8. Dickey W, Kearney N. Overweight in celiac disease: prevalence, clinical characteristics, and effect of a gluten-free diet. Am J Gastroenterol. 2006 Oct;101(10):2356-9. http://www.nature.com/ajg/journal/v101/n10/full/ajg2006434a.html
9. Singh I, Agnihotri A, Sharma A, Verma AK, Das P, et al. Patients with celiac disease may have normal weight or may even be overweight. Indian J Gastroenterol. 2016 Jan;35(1):20-4. https://link.springer.com/article/10.1007%2Fs12664-016-0620-9
10. Tucker E, Rostami K, Prabhakaran S, Al Dulaimi D. Patients with coeliac disease are increasingly overweight or obese on presentation. J Gastrointestin Liver Dis. 2012 Mar;21(1):11-5. http://www.jgld.ro/2012/1/4.html
11. Rahimi AR, Daryani NE, Ghofrani H, Taher M, Pashaei MR, et al. The prevalence of celiac disease among patients with non-alcoholic fatty liver disease in Iran. Turk J Gastroenterol. 2011 Jun;22(3):300-4. http://www.turkjgastroenterol.org/eng/makale/4055/263/Full-Text
12. Cappello M, Morreale GC, Licata A. Elderly onset celiac disease: a narrative review. Clin Med Insights Gastroenterol. 2016 Jul 27;9:41-9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4965017/
13. Real Delor RE. Actualización en diagnóstico de enfermedad celiaca. An Fac Med. 2016;77(4):393-8. http://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/12657
14. Passera AH, Passera ML, Higa AL, Núñez MH, Armando A, Barzón S. Duodenitis crónica y Enfermedad Celíaca: un camino entre lo inespecífico y los primeros estadíos de Marsh. Revista de la Facultad de Ciencias Médicas 72(2):123-126. http://revista.webs.fcm.unc.edu.ar/2015-722/
Downloads
Additional Files
Published
Issue
Section
License
Copyright (c) 2017 Universidad Nacional de Córdoba
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The generation of derivative works is allowed as long as it is not done for commercial purposes. The original work may not be used for commercial purposes.
How to Cite
