• Terapevt Arkh · Aug 2021

    Case Reports

    [Celiac crisis in patients with celiac disease. Case report].

    • A V Babanova, L M Krums, S V Bykova, A I Parfenov, G A Dudina, E A Sabelnikova, S G Khomeriki, K A Lesko, and S R Dbar.
    • Loginov Moscow Clinical Research Center.
    • Terapevt Arkh. 2021 Aug 15; 93 (8): 943-948.

    AbstractCeliac 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.

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