Open AccessAn unusual case of chronic abdominal pain: an association between Celiac disease and Crohn’s disease
Author(s) -
Leen Jamel Doya,
Maria Naamah,
Noura Karkamaz,
Narmin Hajo,
Fareeda Wasfy Bijow,
Ali Ibrahim,
Rana Issa
Publication year - 2021
Publication title -
oxford medical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.169
H-Index - 9
ISSN - 2053-8855
DOI - 10.1093/omcr/omab008
Subject(s) - medicine , abdominal pain , disease , etiology , inflammatory bowel disease , gastroenterology , pallor , crohn's disease
Inflammatory bowel diseases (IBD) and Celiac disease (CeD) are immune-mediated gastrointestinal diseases with incompletely understood etiology. Both diseases show a multifactorial origin with a complex interplay between genetic, environmental factors, and some components of the commensal microbiota. The coexistence of celiac disease with Crohn’s disease is rarely reported in the literature. Here, we report a case of a 13-year-old Syrian male who presented with a history of abdominal pain, anorexia and pallor. CeD and Crohn’s disease was documented on gastrointestinal endoscopy and histological study. The patient was treated with a gluten-free, low fiber, high caloric diet, and a course of oral corticosteroids with an improvement in growth rate and abdominal pain.