• Medicina · Jan 2020

    Case Reports

    [Gastrointestinal bleeding and complicated celiac disease in anticoagulated patient].

    • Marco Gornatti and María Adela Aguirre.
    • Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Argentina. E-mail: marco.gornatti@hospitalitaliano.org.ar.
    • Medicina (B Aires). 2020 Jan 1; 80 (6): 718-721.

    AbstractCeliac disease is considerably frequent in our media. Gluten-free diet shows clinical, serological and endoscopic improvement in most patients shortly after its start. A few patients may present or develop a "complicated celiac disease", an entity that includes refractory sprue, ulcerative jejunitis and intestinal lymphoma, which carry unfavorable prognoses, requiring more radical treatments. We present here the case of a 77-year-old male patient evaluated in our center, who was admitted for study of acute gastrointestinal bleeding. Complicated celiac disease was diagnosed, systemic corticosteroids were started and a close follow-up was carried out.

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