Enfermedad celíaca Silente en una paciente obesa

Autores

DOI:

https://doi.org/10.31053/1853.0605.v74.n4.16888

Palavras-chave:

enfermedad celiaca, atrofia intestinal, obesidad

Resumo

Se presenta caso de paciente obesa a quien se le realiza endoscopía digestiva alta por disfagia tras ingesta accidental de hueso de pollo. Se constata leve esofagitis de reflujo y atrofia duodenal. La biopsia intestinal informa atrofia intestinal con infiltrado inflamatorio. Los autoanticuerpos para enfermedad celiaca resultan positivos. La paciente nunca presentó síntomas digestivos. Se confirma enfermedad celiaca silente e inicia dieta sin gluten.

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Biografia do Autor

  • Raúl Emilio Real Delor, Dpto. de Medicina Interna. Hospital Nacional. Itauguá, Paraguay

    Jefe del Dpto. de Medicina Interna del Hospital Nacional, Itauguá, Paraguay

    Coordinador del Postgrado en Medicina Interna, Facultad de Medicina, Universidad Nacional de Itapúa, Paraguay

Referências

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/

Publicado

2017-12-08

Edição

Seção

Casos Clínicos

Como Citar

1.
Real Delor RE. Enfermedad celíaca Silente en una paciente obesa. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 8º de dezembro de 2017 [citado 25º de novembro de 2024];74(4):398-401. Disponível em: https://revistas.psi.unc.edu.ar/index.php/med/article/view/16888

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