Atypical celiac disease with late onset, damage of gastrointestinal tract, nervous and musculoskeletal systems of the organism


Дәйексөз келтіру

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Ашық рұқсат Ашық рұқсат
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Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

The most typical manifestations of celiac disease are gastrointestinal symptoms. At the same time, in some patients, extraintestinal manifestations of the disease come at the first line. The aim of the presented work is to describe a case of atypical celiac disease in a female patient born in 1978 with a late onset (at age 37), damages of musculoskeletal system and nervous system. Presented data allow us to conclude that the diagnosis and treatment of celiac disease can cause difficulties in case of the late onset of the disease and predominance of extraintestinal symptoms (damage of nervous and/or musculoskeletal systems). Currently, the only treatment for intestinal and extraintestinal symptoms of celiac disease is a gluten-free diet, which can lead to remission even in the case of the most severe disease course.

Толық мәтін

Рұқсат жабық

Авторлар туралы

Inna Gaydukova

I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia

Email: ubp1976@list.ru
MD, Deputy Director of the Research Institute of Rheumatology; professor of the Department of therapy, rheumatology, examination of temporary disability and quality of medical care named after E.E. Eichwald

Vadim Mazurov

I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia

Email: maz.nwgmu@yandex.ru
MD, professor, academician of RAS, Honored worker of science of Russian Federation, Director of the Research Institute of Rheumatology; head of the Department of therapy, rheumatology, examination of temporary disability and quality of medical care named after E.E. Eichwald

Anastasia Pilipenko

City Polyclinic No.19, Saint Petersburg

Email: anastasiyamoderova@gmail.com
rheumatologist

Әдебиет тізімі

  1. Admou B., Essaadouni L., Krati K. et al. Atypical celiac disease: From recognizing to managing. Gastroenterol Res Pract. 2012; 2012: 637187. doi: 10.1155/2012/637187.
  2. Laurikka P., Nurminen S., Kivela L., Kurppa K. Extraintestinal manifestations of celiac disease: Early detection for better long-term outcomes. Nutrients. 2018; 10(8): 1015. doi: 10.3390/nu10081015.
  3. Al-Toma A., Volta U., Auricchio R. et al. European Society for the Study of Coeliac Disease (ESsCD) guideline for coeliac disease and other gluten-related disorders. United European Gastroenterol J. 2019; 7(5): 583-613. doi: 10.1177/2050640619844125.
  4. Genetics of celiac disease (sprue): Overview, clinical implications, genetic testing (n.d.). Retrieved April 9, 2021. Available at: https://emedicine.medscape.com/article/1790189-overview#showall (date of access - 01.11.20210).
  5. Enteropathic arthropathies: Practice essentials, etiology, epidemiology (n.d.). Retrieved April 9, 2021. Available at: https://emedicine. medscape.com/article/334746-overview (date of access - 01.11.2021).
  6. Дмитриева Ю.А., Захарова И.Н. Неврологические проявления у больных целиакией. Медицинский Совет. 2017; 9: 93-96. [Dmitrieva Yu.A., Zakharova I.N. Neurologic manifestations in coeliac disease patients. Meditsinskiy sovet = Medical Council. 2017; 9: 93-96 (In Russ.)]. https://doi.org/10.21518/2079-701X-2017-9-93-96.
  7. Celiac disease (sprue): Practice essentials, background, pathophysiology (n.d.). Retrieved April 9, 2021. Available at: https://emedicine.medscape.com/article/171805-overview#showall (date of access - 01.11.2021).
  8. Mearns E.S., Taylor A., Thomas Craig K.J. et al. Neurological manifestations of neuropathy and ataxia in celiac disease: A systematic review. Nutrients. 2019; 11(2): 380. doi: 10.3390/nu11020380.
  9. Pediatric celiac disease (sprue): Background, pathophysiology, epidemiology (n.d.). Retrieved April 9, 2021. Available at: https://emedicine.medscape.com/article/932104-overview#showall (date of access - 01.11.2021).

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