Celiac Disease, A Silent Enemy: A Case Report

Authors

DOI:

https://doi.org/10.22516/25007440.1090

Keywords:

Celiac disease, gluten-free diet, malabsorption syndrome, case reports

Abstract

Celiac disease (CD) is an immune-mediated enteropathy with systemic compromise in genetically susceptible individuals, caused by an immune response to ingested gluten. The only therapy for CD is a gluten-free diet (GFD).

A case of a 55-year-old woman who reported to the emergency room for early satiety, intolerance to legumes, abdominal distension, and chronic diarrhea, including paresthesias in the upper and lower limbs, was presented. In addition, she described a functional decline due to dyspnea and involuntary weight loss of approximately 20 kilograms in the last 2 years. An esophagogastroduodenoscopy with CD protocol was performed, along with serology for CD, which confirmed the initial diagnostic suspicion. Treatment with a gluten-free diet and nutritional supplementation was indicated, which yielded a significant improvement in the clinical picture.

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Author Biographies

Diana Carolina Urbano Albán, Hospital Universitario San José

Médica general. Médico hospitalarario. Popayán, Colombia.

Bairon Díaz Idrobo, Hospital Universitario San José

Médico cirujano. Médico hospitalaro. Popayán, Cauca, Colombia.

Rosales Sebastián Hooker Herrera, Hospital Universitario San José

Médico internista. Popayán, Cauca, Colombia.

Julio Cesar Hooker Mosquera, Digest Center S.A.S

Médico internista gastroenterólogo. Cali, Colombia.

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Figura 1. Clasificación de Marsh 1 (Infiltrativa). Mucosa del bulbo duodenal en la cual se observa preservación de la población glandular con ocasionales linfocitos intraepiteliales (10 linfocitos por 100 células epiteliales). Cortesía del Departamento de Patología del Hospital Universitario San José de Popayán, con ampliación de lectura (Dra. Nohelia Muñoz).

Published

2024-06-27

How to Cite

Urbano Albán, D. C., Díaz Idrobo, B., Hooker Herrera, R. S., & Hooker Mosquera, J. C. (2024). Celiac Disease, A Silent Enemy: A Case Report. Revista Colombiana De Gastroenterología, 39(2), 224–229. https://doi.org/10.22516/25007440.1090

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Section

Case report