![]() diff infection than other patient populations due to the possibility of altered gut immunity and/or microbiome. There have been multiple studies confirming that celiac disease patients have a higher incidence of C. Pylori and celiac disease should be explored. Further studies looking at the relationship between H. When possible, the web browser will redirect you to a trusted device. Pylori is known to trigger autoimmunity thus triggering the celiac disease. If you dont have a trusted device, you can reset your password using a web browser but the process may take a little longer. It is unclear if there is an association of celiac disease with H. ![]() Celiac disease, a well-known autoimmune disease, remains an uncommon disease with a worldwide prevalence of 1.4% based on serology and 0.7% on biopsy. Our patient had multiple diseases raising suspicion of a common denominator of altered immunity. Follow-up endoscopic biopsies showed resolution of H pylori and lymphocytic gastritis while duodenal biopsies showed histological improvement. She was treated with quadruple therapy for H pylori and started on a gluten-free diet with resolution of her symptoms. The duodenal biopsies were consistent with celiac disease. Pylori infection as well as lymphocytic gastritis. Gastric biopsies revealed active chronic gastritis and H. She underwent upper endoscopy and biopsies were taken. Her serum tissue transglutaminase returned high. However, she continued to experience abdominal pain and bloating. diff colitis and treated with a 10- day course of oral vancomycin. Results showed markedly elevated fecal calprotectin and positive stool for C diff toxin. Diff), calprotectin, fat, elastase, and serum C-reactive protein and tissue transglutaminase IgG were ordered. Further investigations including stool Clostridium Difficile (C. She underwent a colonoscopy which revealed nonbleeding internal hemorrhoids but was otherwise normal. Physical examination and initial laboratory studies were unremarkable. She denied recent travel, ill contacts, antibiotics, new medication or diet. Case Description/Methods:Ī 62-year-old female with a history of asthma, allergic rhinitis, dyslipidemia, and hypertension presented with a 1-month history of non-bloody, straw-colored loose stools associated with abdominal bloating and pain. ![]() While there is a multitude of differentials to consider, we present a case of a middle-aged female with a pandora’s box of gastrointestinal conditions who was eventually diagnosed with Celiac Disease. Chronic diarrhea is a common presentation.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |