Enfermedad celíaca Silente en una paciente obesa
DOI:
https://doi.org/10.31053/1853.0605.v74.n4.16888Palavras-chave:
enfermedad celiaca, atrofia intestinal, obesidadResumo
Se presenta caso de paciente obesa a quien se le realiza endoscopía digestiva alta por disfagia tras ingesta accidental de hueso de pollo. Se constata leve esofagitis de reflujo y atrofia duodenal. La biopsia intestinal informa atrofia intestinal con infiltrado inflamatorio. Los autoanticuerpos para enfermedad celiaca resultan positivos. La paciente nunca presentó síntomas digestivos. Se confirma enfermedad celiaca silente e inicia dieta sin gluten.
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1. Schumann M, Siegmund B, Schulzke JD, Fromm M. Celiac disease: role of the epithelial barrier. Cell Mol Gastroenterol Hepatol. 2017 Jan 14;3(2):150-162. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5331784/
2. Nadhem ON, Azeez G, Smalligan RD, Urban S. Review and practice guidelines for celiac disease in 2014. Postgrad Med. 2015 Apr;127(3):259-65.http://www.tandfonline.com/doi/abs/10.1080/00325481.2015.1015926?journalCode=ipgm20
3. Vandenplas Y. Lactose intolerance. Asia Pac J Clin Nutr. 2015;24 Suppl 1:S9-13. http://apjcn.nhri.org.tw/server/APJCN/24%20Suppl%201//S9.pdf
4. Diamanti A, Capriati T, Basso MS, Panetta F, Di Ciommo Laurora VM, et al. Celiac disease and overweight in children: an update. Nutrients. 2014 Jan 2;6(1):207-20. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3916856/
5. Nenna R, Nenna R, Mosca A, Mennini M, Papa RE, et al. Coeliac disease screening among a large cohort of overweight/obese children. J Pediatr Gastroenterol Nutr. 2015 Mar;60(3):405-7. doi: 10.1097/MPG.0000000000000656.
6. Poddar U. Pediatric and adult celiac disease: similarities and differences. Indian J Gastroenterol. 2013 Sep;32(5):283-8. https://link.springer.com/article/10.1007%2Fs12664-013-0339-9
7. Cuenca-Abente F, Nachman F, Bai JC. Diagnosis of celiac disease during pre-operative work-up for bariatric surgery. Acta Gastroenterol Latinoam. 2012 Dec;42(4):321-4. http://actagastro.org/indice-vol-42-n4-de-2012/
8. Dickey W, Kearney N. Overweight in celiac disease: prevalence, clinical characteristics, and effect of a gluten-free diet. Am J Gastroenterol. 2006 Oct;101(10):2356-9. http://www.nature.com/ajg/journal/v101/n10/full/ajg2006434a.html
9. Singh I, Agnihotri A, Sharma A, Verma AK, Das P, et al. Patients with celiac disease may have normal weight or may even be overweight. Indian J Gastroenterol. 2016 Jan;35(1):20-4. https://link.springer.com/article/10.1007%2Fs12664-016-0620-9
10. Tucker E, Rostami K, Prabhakaran S, Al Dulaimi D. Patients with coeliac disease are increasingly overweight or obese on presentation. J Gastrointestin Liver Dis. 2012 Mar;21(1):11-5. http://www.jgld.ro/2012/1/4.html
11. Rahimi AR, Daryani NE, Ghofrani H, Taher M, Pashaei MR, et al. The prevalence of celiac disease among patients with non-alcoholic fatty liver disease in Iran. Turk J Gastroenterol. 2011 Jun;22(3):300-4. http://www.turkjgastroenterol.org/eng/makale/4055/263/Full-Text
12. Cappello M, Morreale GC, Licata A. Elderly onset celiac disease: a narrative review. Clin Med Insights Gastroenterol. 2016 Jul 27;9:41-9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4965017/
13. Real Delor RE. Actualización en diagnóstico de enfermedad celiaca. An Fac Med. 2016;77(4):393-8. http://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/12657
14. Passera AH, Passera ML, Higa AL, Núñez MH, Armando A, Barzón S. Duodenitis crónica y Enfermedad Celíaca: un camino entre lo inespecífico y los primeros estadíos de Marsh. Revista de la Facultad de Ciencias Médicas 72(2):123-126. http://revista.webs.fcm.unc.edu.ar/2015-722/
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