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乳糜泻危象作为儿童乳糜泻的危及生命的发作:一例报告。

Celiac crisis as the life-threatening onset of celiac disease in children: a case report.

作者信息

Mauro Angela, Casini Francesca, Talenti Antonella, Di Mari Clelia, Benincaso Anna Rita, Di Nardo Giovanni, Bernardo Luca

机构信息

Department of Childhood and Developmental Medicine, Fatebenefratelli Hospital, Milan, Italy.

Department of Biomedical and Clinical Sciences, Buzzi Children's Hospital, University of Milan, Milan, Italy.

出版信息

Front Pediatr. 2023 May 12;11:1163765. doi: 10.3389/fped.2023.1163765. eCollection 2023.

Abstract

Celiac disease (CD) is an immune-mediated enteropathy caused by a permanent sensitivity to gluten in genetically susceptible individuals. In rare cases, CD may occur with a severe potential life-threatening manifestation known as a celiac crisis (CC). This may be a consequence of a delayed diagnosis and expose patients to possible fatal complications. We report the case of a 22-month-old child admitted to our hospital for a CC characterized by weight loss, vomiting, and diarrhea associated with a malnutrition state. Early identification of symptoms of CC is essential to provide a prompt diagnosis and management.

摘要

乳糜泻(CD)是一种免疫介导的肠病,由遗传易感个体对麸质的永久性敏感引起。在罕见情况下,CD可能会出现一种严重的、可能危及生命的表现,称为乳糜泻危象(CC)。这可能是诊断延迟的结果,并使患者面临可能的致命并发症。我们报告了一名22个月大的儿童因CC入院的病例,该CC的特征为体重减轻、呕吐和腹泻,并伴有营养不良状态。早期识别CC的症状对于及时诊断和治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a02/10213434/0c3a0e7447aa/fped-11-1163765-g001.jpg

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