Open AccessCeliac crisis in patients with celiac disease. Case report
Author(s) -
Aleksandra V. Babanova,
Бабанова Александра Валерьевна,
Л М Крумс,
Крумс Лариса Михайловна,
С В Быкова,
Быкова Светлана Владимировна,
А И Парфенов,
Парфенов Асфольд Иванович,
Г. А. Дудина,
Дудина Галина Анатольевна,
E A Sabelnikova,
Сабельникова Елена Анатольевна,
С. Г. Хомерики,
Хомерики Сергей Германович,
K. A. Lesko,
Лесько Константин Александрович,
Saria R. Dbar,
Дбар Сариа Романовна
Publication year - 2021
Publication title -
terapevtičeskij arhiv
Language(s) - English
Resource type - Journals
eISSN - 2309-5342
pISSN - 0040-3660
DOI - 10.26442/00403660.2021.08.200972
Subject(s) - medicine , prednisolone , disease , coagulopathy , hypoproteinemia , emaciation , surgery , pneumonia , pediatrics , angina , myocardial infarction
Celiac 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.