[Celiac crisis in patients with celiac disease. Case report].
A V BabanovaL M KrumsS V BykovaA I ParfenovGalina A DudinaE A SabelnikovaS G KhomerikiKonstantin A LeskoS R DbarPublished in: Terapevticheskii arkhiv (2021)
Celiac crisis (CC) is a rare life-threatening course of celiac disease, observed mainly in children. In adults, CK can be the first manifestation of the disease and, very rarely, a relapse that occurs in patients who do not follow the gluten-free diet (AGD). Triggers can be stress, surgery, childbirth, etc. A clinical observation of CC developed in a 49-year-old patient with previously established latent celiac disease with subtotal villous atrophy, stage Marsh III C is presented. The patient did not comply with AHD. After severe angina, she developed anorexia, diarrhea, emaciation, coagulopathy, bilateral pulmonary embolism, infarction pneumonia, and enterogenic sepsis. As a result of intensive therapy with prednisolone, Fraxiparine, antibiotics, fresh frozen plasma and strict adherence to hypertension, remission of the disease was achieved.
Keyphrases
- celiac disease
- case report
- pulmonary embolism
- public health
- inferior vena cava
- blood pressure
- minimally invasive
- young adults
- intensive care unit
- physical activity
- early onset
- coronary artery
- coronary artery bypass
- type diabetes
- weight loss
- adipose tissue
- disease activity
- acute coronary syndrome
- septic shock
- protein kinase
- rheumatoid arthritis
- skeletal muscle
- ulcerative colitis
- respiratory failure
- insulin resistance