Терапевтический архив (Aug 2021)

Celiac crisis in patients with celiac disease. Case report

  • Aleksandra V. Babanova,
  • Larisa M. Krums,
  • Svetlana V. Bykova,
  • Asfold I. Parfenov,
  • Galina A. Dudina,
  • Elena A. Sabelnikova,
  • Sergei G. Khomeriki,
  • Konstantin A. Lesko,
  • Saria R. Dbar

DOI
https://doi.org/10.26442/00403660.2021.08.200972
Journal volume & issue
Vol. 93, no. 8
pp. 943 – 948

Abstract

Read online

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.

Keywords