Open AccessHypoalbuminemia and generalized edema as an atypical presentation of celiac disease
Author(s) -
Durga Shankar Meena,
Deepak Kumar,
Gopal Krishna Bohra,
Sahadev Choudhary
Publication year - 2020
Publication title -
journal of family medicine and primary care
Language(s) - English
Resource type - Journals
eISSN - 2278-7135
pISSN - 2249-4863
DOI - 10.4103/jfmpc.jfmpc_1116_19
Subject(s) - medicine , hypoalbuminemia , malabsorption , peripheral edema , asymptomatic , disease , presentation (obstetrics) , enteropathy , edema , ascites , biopsy , gastroenterology , surgery , adverse effect
The clinical presentation of celiac disease has evolved significantly over the last few decades. Previously defined as a malabsorption syndrome in pediatric patients, now it is considered an autoimmune disorder with diverse systemic manifestations among all age groups. We report a case of 56-year-old male presented with pedal edema and gradually progressive abdomen distention for the last 3 months. Serological evaluation and duodenal biopsy reports were suggestive of celiac disease. The patient was advised gluten-free diet, after 12 weeks, the patient became asymptomatic with the resolution of ascites and peripheral edema. According to the literature, there are few reports of protein-losing enteropathy as an initial presentation of celiac disease. The possibility of celiac disease should be considered even in the setting of atypical symptoms.