Abstract
Celiac disease is a chronic, immune-mediated, multiorgan disorder that affects susceptible individuals, and it is triggered by gluten and other prolamins. We present the case of a 1-year-old male child, with a history of idiopathic pericardial effusion, admitted in our clinic for severe abdominal bloating, irritability, loss of appetite and intermittent diarrheic stools. The clinical findings were: influenced general status, irritability, distended abdomen, and diffuse abdominal tenderness. The initial laboratory tests revealed anemia, leukocytosis, increased inflammatory biomarkers, high levels of transaminases, and hypoalbuminemia. The stool culture identified an enterocolitis with enteropathogenic Escherichia coli (E. coli). We initiated antibiotic treatment, substitution therapy with human albumin and probiotics with initial favorable evolution, but after 1 month, the patient was re-admitted for the persistence of intermittent diarrheic stools and abdominal bloating, when we established the diagnosis of cow's milk protein allergy. We initiated diary-free diet. Unfortunately, the patient was re-admitted after another 8 months, presenting the same clinical and laboratory findings as during the initial admission. We repeated t...Continue Reading
References
Aug 1, 1996·The Journal of Pediatrics·L LeporeA Ventura
May 19, 2005·JAMA : the Journal of the American Medical Association·Jill M NorrisMarian Rewers
Nov 17, 2005·Archives of Disease in Childhood·A K AkobengR F Heller
Oct 13, 2006·The American Journal of Gastroenterology·Lars C SteneMarian Rewers
Oct 24, 2007·Journal of Internal Medicine·P ElfströmJ F Ludvigsson
Nov 22, 2007·Journal of Pediatric Gastroenterology and Nutrition·Andrea GarampazziGiuseppina Oderda
Nov 13, 2010·Annals of Medicine·Kirsi MustalahtiUNKNOWN Coeliac EU Cluster, Project Epidemiology
Dec 27, 2011·Journal of Pediatric Gastroenterology and Nutrition·S HusbyUNKNOWN European Society for Pediatric Gastroenterology, Hepatology, and Nutrition
Aug 2, 2012·The American Journal of Gastroenterology·Alberto Rubio-TapiaJames E Everhart
Jul 16, 2013·BMC Gastroenterology·Alina PoppMarkku Mäki
Jul 1, 2014·Journal of Pediatric Gastroenterology and Nutrition·Maaike W Schaart, Maria L Mearin
Jul 1, 2014·Journal of Pediatric Gastroenterology and Nutrition·Cisca Wijmenga, Javier Gutierrez-Achury
Jul 1, 2014·Journal of Pediatric Gastroenterology and Nutrition·Carlo CatassiAlessio Fasano
Jul 1, 2014·Journal of Pediatric Gastroenterology and Nutrition·Riccardo Troncone, Valentina Discepolo
Oct 2, 2014·The New England Journal of Medicine·Elena LionettiUNKNOWN SIGENP (Italian Society of Pediatric Gastroenterology, Hepatology, and Nutrition) Working Group on Weaning and CD Risk
Oct 2, 2014·The New England Journal of Medicine·Sabine L VriezingaM Luisa Mearin
Aug 20, 2015·Nutrients·María Carmen CenitYolanda Sanz
Jan 17, 2017·Pediatric Gastroenterology, Hepatology & Nutrition·Shailja VajpayeeAakash Sharma
Feb 24, 2017·Current Opinion in Clinical Nutrition and Metabolic Care·Caroline R MeijerMaria L Mearin
May 18, 2017·Medicine·Cristina Oana MargineanMinodora Dobreanu
Jun 24, 2017·American Journal of Epidemiology·Andreas BeyerleinAnette-Gabriele Ziegler
Nov 1, 2017·The American Journal of Gastroenterology·Benjamin LebwohlJonas F Ludvigsson
Feb 3, 2018·European Journal of Pediatrics·Michael W Van KalleveenFrans B Plötz
Feb 21, 2018·Microbiome·Marta OlivaresYolanda Sanz