Canadian Journal of Gastroenterology and Hepatology

Canadian Journal of Gastroenterology and Hepatology / 2008 / Article

Brief Communication | Open Access

Volume 22 |Article ID 453520 | https://doi.org/10.1155/2008/453520

Owayed Al Shammeri, Donald R Duerksen, "Celiac Crisis in an Adult on Immunosuppressive Therapy", Canadian Journal of Gastroenterology and Hepatology, vol. 22, Article ID 453520, 3 pages, 2008. https://doi.org/10.1155/2008/453520

Celiac Crisis in an Adult on Immunosuppressive Therapy

Received13 Nov 2007
Accepted05 Feb 2008

Abstract

‘Celiac crisis’ is a rare presentation of celiac disease with manifestations that include severe diarrhea, and severe metabolic and electrolyte abnormalities. It is most frequently seen in children younger than two years of age and has been rarely described in adults. A case of a 50-year-old woman who presented with diarrhea, severe dehydration, hypokalemia and metabolic acidosis is described. Based on positive serology and small bowel biopsy, she was diagnosed with celiac disease. She also had histological evidence of lymphocytic colitis. Microscopic colitis has not previously been described in association with celiac crisis, but it may have contributed to the presentation of celiac crisis in the current case. The patient was on corticosteroids and azathioprine for autoimmune hepatitis at the time of her presentation. The current case demonstrates that modest immunosuppression does not prevent a celiac crisis, although previous reports have shown that patients may respond rapidly to high-dose corticosteroids.

Copyright © 2008 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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