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- Ersan Ozaslan, Tankut Köseoğlu, and Burçak Kayhan.
- Division of Gastroenterology, Numune Education and Training Hospital, Ankara, Turkey. er72@hotmail.com
- Eur J Emerg Med. 2004 Dec 1; 11 (6): 363-5.
AbstractAdult coeliac disease, in contrast to its childhood counterpart, almost always has an indolent course with a wider spectrum of clinical manifestations. Approximately half of the patients have no overt gastrointestinal symptoms and many are asymptomatic. A rare and life-threatening complication, affecting mainly children younger than 2 years of age, is the so-called coeliac crisis, a term that applies to profuse diarrhoea leading to dehydration, hypokalemia, and acidosis. We report here two cases of adult coeliac disease that presented as coeliac crisis. Coeliac disease should be a differential diagnosis in adult patients with severe acute diarrhoea and acidosis, although a rare presentation.
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