Clinical and nutrological aspects of celiac disease: a case report

Mayelin Abreu Jorrin, Maria Amália Maresma San Miguel
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Abstract

Celiac Disease is an autoimmune enteropathy triggered by gluten intake in genetically predisposed individuals. The prevalence varies by country and it is estimated to be 1% of the population. Diagnosis can be made at any age, and may manifest in a typical manner with diarrhea, abdominal pain, malabsorption, malnutrition; or with atypical symptoms and extra intestinal manifestations such as metabolic diseases, and neurological symptoms. The interest in its diagnosis results in the regression of symptoms with the dietary exclusion of gluten, the recovery of adequate nutritional status, and the reduction of the risk of the appearance of more serious complications (refractory disease, lymphoma, and intestinal adenocarcinoma). A case is reported of a patient with Hashimoto's thyroiditis, with dyspeptic symptoms, ferropenia, and chronic fatigue who after an etiological investigation was diagnosed with celiac disease, in addition to reviewing current clinical, nutrological, and therapeutic aspects of the disease.
乳糜泻的临床和营养学方面:1例报告
乳糜泻是一种自身免疫性肠病,由遗传易感个体摄入麸质引发。流行率因国家而异,估计占人口的1%。可在任何年龄诊断,典型表现为腹泻、腹痛、吸收不良、营养不良;或伴有非典型症状和肠道外表现,如代谢性疾病和神经系统症状。对其诊断的兴趣导致了饮食中不含麸质的症状的消退,恢复了足够的营养状态,并降低了出现更严重并发症(难治性疾病、淋巴瘤和肠腺癌)的风险。本文报告了一例桥本甲状腺炎患者,伴有消化不良症状、缺铁和慢性疲劳,经病因调查后诊断为乳糜泻,并回顾了该疾病目前的临床、营养学和治疗方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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