Atypical celiac disease presenting with clubbing

Abstract

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.

Keywords

• Clubbing,Celiac Disease,Children

Çomak Parmak İle Başvuran Atipik Çölyak Hastalığı Olgusu

Abstract

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.

Keywords

• Çomak Parmak,Çölyak Hastalığı,çocuk

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