Celiac crisis in patients with celiac disease. Case report

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, childbir...

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Auteurs principaux: Aleksandra V. Babanova, Larisa M. Krums, Svetlana V. Bykova, Asfold I. Parfenov, Galina A. Dudina, Elena A. Sabelnikova, Sergei G. Khomeriki, Konstantin A. Lesko, Saria R. Dbar
Format: article
Langue:RU
Publié: "Consilium Medicum" Publishing house 2021
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R
Accès en ligne:https://doaj.org/article/f8bbd90d873b4eb0b1b5d9a0a424b414
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Résumé: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.