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Atypical celiac disease presenting with clubbing

Yıl 2020, Cilt: 10 Sayı: 1, 146 - 148, 31.03.2020
https://doi.org/10.16899/jcm.593672

Öz

Celiac disease is an autoimmune disease characterized by inflammation of the small intestinal mucosa due to gluten exposure in individuals with genetic predisposition. Gastrointestinal symptoms such as abdominal pain, diarrhea, loss of appetite and weight loss are seen in majority of the patients. The number of patients presenting with extraintestinal complaints for instance electrolyte disorders, hematologic, muscle, bone, and joint involvement is also considerably high. In this case, we discuss a 12-year-old girl who was recovered from the clinic at 4 months with a gluten-free diagnosis of celiac disease as she presented with complaints of clubbing, developmental delay, and fatigue.Celiac disease is an
autoimmune disease characterized by inflammation of the small intestinal mucosa
due to gluten exposure in individuals with genetic predisposition.
Gastrointestinal symptoms such as abdominal pain, diarrhea, loss of appetite
and weight loss are seen in majority of the patients. The number of patients
presenting with extraintestinal complaints for instance electrolyte disorders,
hematologic, muscle, bone, and joint involvement is also considerably high. In
this case, we discuss a 12-year-old girl who was recovered from the clinic at 4
months with a gluten-free diagnosis of celiac disease as she presented with
complaints of clubbing, developmental delay, and fatigue.


Kaynakça

  • 1. Lebwohl B, Sanders,DS Green PHR. Coeliac disease Lancet 2018; 391: 70–81
  • 2. Durham J Heide S. Temples HS.Celiac Disease in the Pediatric Population J Pediatr Health Care. 2018 ;32(6):627-31.
  • 3. Hanssen-flaschen J, Nordberg J. Clubbing and hypertrophic osteoarthropathy. Clin Chest Med 1987;8(2): 287–98.
  • 4. Vandemergel X, Renneboog B. Prevalence, aetiologies and significance of clubbing in a department of general internal medicine. Eur J Intern Med. 2008;19(5):325–29.
  • 5. Shah K, Rubian AI. Nail Disorders as Signs of Pediatric Systemic Disease Curr Probl Pediatr Adolesc Health Care 2012;42:204-11.
  • 6. Hill ID, Dirks MH, Liptak GS, Colletti RB, Fasano A, Guandalini S. et al. Guideline for the diagnosis and treatment of celiac disease in children: Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2005;40(1):1–19.
  • 7. Husby S, Koletzko S, Korponay-Szabó IR, Mearin ML, Phillips A, Shamir R, et al. European society for pediatric gastroenterology, hepatology, and nutrition guidelines for the diagnosis of coeliac disease. J Pediatr Gastroenterol Nutr. 2012;54(1) 136–60.
  • 8. Dalgic B, Sari S, Basturk B, Ensari A, Egritas O, Bukulmez A, Baris Z.;Turkish Celiac Study Group Prevalence of celiac disease in healthy Turkish school children Am J Gastroenterol. 2011 Aug;106(8):1565 Note: Yasar, Aslan [corrected to Dogan, Yasar]]. Am J Gastroenterol. 2011;106(8):1512–17.
  • 9. Moore JK, West SR, Robins G. Advances in celiac disease. Vol. 27, Curr Opin Gastroenterol. 2011; 27(2): 112–18.
  • 10. Kaukinen K, Lindfors K, Collin P, Koskinen O, Maki M. Coeliac disease - A diagnostic and therapeutic challenge. Clin Chem Lab Med. 2010;48(9):1205–16.

Çomak Parmak İle Başvuran Atipik Çölyak Hastalığı Olgusu

Yıl 2020, Cilt: 10 Sayı: 1, 146 - 148, 31.03.2020
https://doi.org/10.16899/jcm.593672

Öz

Çölyak hastalığı, genetik yatkınlığı olan bireylerde gluten maruziyeti sonucu ince barsak mukozasında inflamasyon ile karakterize otoimmün bir hastalıktır. Hastaların çok büyük bir kısmında karın ağrısı, ishal, iştahsızlık, kilo kaybı gibi gastrointestinal sistem yakınmaları görülürken; elektrolit bozuklukları, hematolojik, kas, kemik, eklem tutulumu gibi ekstraintestinal yakınmalarla başvuran hasta sayısı da azımsanmayacak ölçüde çoktur. Burada çomak parmak şikayeti, gelişme geriliği, halsizlik yakınmaları ile başvurarak çölyak tanısı alan glutensiz diyetle 4. ayda kliniği düzelen 12 yaşında bir kız olgu sunuldu.

Çölyak
hastalığı, genetik yatkınlığı olan bireylerde gluten maruziyeti sonucu ince
barsak mukozasında inflamasyon ile karakterize otoimmün bir hastalıktır.
Hastaların çok büyük bir kısmında karın ağrısı, ishal, iştahsızlık, kilo kaybı
gibi gastrointestinal sistem yakınmaları görülürken; elektrolit bozuklukları,
hematolojik, kas, kemik, eklem tutulumu gibi ekstraintestinal yakınmalarla
başvuran hasta sayısı da azımsanmayacak ölçüde çoktur. Burada çomak parmak
şikayeti, gelişme geriliği, halsizlik yakınmaları ile başvurarak çölyak tanısı
alan glutensiz diyetle 4. ayda kliniği düzelen 12 yaşında bir kız olgu sunuldu.


Kaynakça

  • 1. Lebwohl B, Sanders,DS Green PHR. Coeliac disease Lancet 2018; 391: 70–81
  • 2. Durham J Heide S. Temples HS.Celiac Disease in the Pediatric Population J Pediatr Health Care. 2018 ;32(6):627-31.
  • 3. Hanssen-flaschen J, Nordberg J. Clubbing and hypertrophic osteoarthropathy. Clin Chest Med 1987;8(2): 287–98.
  • 4. Vandemergel X, Renneboog B. Prevalence, aetiologies and significance of clubbing in a department of general internal medicine. Eur J Intern Med. 2008;19(5):325–29.
  • 5. Shah K, Rubian AI. Nail Disorders as Signs of Pediatric Systemic Disease Curr Probl Pediatr Adolesc Health Care 2012;42:204-11.
  • 6. Hill ID, Dirks MH, Liptak GS, Colletti RB, Fasano A, Guandalini S. et al. Guideline for the diagnosis and treatment of celiac disease in children: Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2005;40(1):1–19.
  • 7. Husby S, Koletzko S, Korponay-Szabó IR, Mearin ML, Phillips A, Shamir R, et al. European society for pediatric gastroenterology, hepatology, and nutrition guidelines for the diagnosis of coeliac disease. J Pediatr Gastroenterol Nutr. 2012;54(1) 136–60.
  • 8. Dalgic B, Sari S, Basturk B, Ensari A, Egritas O, Bukulmez A, Baris Z.;Turkish Celiac Study Group Prevalence of celiac disease in healthy Turkish school children Am J Gastroenterol. 2011 Aug;106(8):1565 Note: Yasar, Aslan [corrected to Dogan, Yasar]]. Am J Gastroenterol. 2011;106(8):1512–17.
  • 9. Moore JK, West SR, Robins G. Advances in celiac disease. Vol. 27, Curr Opin Gastroenterol. 2011; 27(2): 112–18.
  • 10. Kaukinen K, Lindfors K, Collin P, Koskinen O, Maki M. Coeliac disease - A diagnostic and therapeutic challenge. Clin Chem Lab Med. 2010;48(9):1205–16.
Toplam 10 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Olgu Sunumu
Yazarlar

Ayşegül Bükülmez 0000-0002-6013-5172

Ecenur Özeke Bu kişi benim 0000-0003-0211-5680

Tuğba Gürsoy Koca 0000-0002-5391-1161

Yayımlanma Tarihi 31 Mart 2020
Kabul Tarihi 18 Aralık 2019
Yayımlandığı Sayı Yıl 2020 Cilt: 10 Sayı: 1

Kaynak Göster

AMA Bükülmez A, Özeke E, Gürsoy Koca T. Atypical celiac disease presenting with clubbing. J Contemp Med. Mart 2020;10(1):146-148. doi:10.16899/jcm.593672