Celiac Crisis in an Adult: Raising Awareness to a Life-Threatening Condition

  • Rogerio Vicente Ferreira Internal Medicine Department, Coimbra Hospital and Universitary Centre
  • Rui Pina Internal Medicine Department, Coimbra Hospital and Universitary Centre
  • Nelson Carvalho Internal Medicine Department, Coimbra Hospital and Universitary Centre
  • Armando Carvalho Internal Medicine Department, Coimbra Hospital and Universitary Centre

Keywords

Celiac Crisis, Celiac Disease, Severe Diarrhea

Abstract

Objectives: The Authors report the case of a 56-year-old man with celiac disease, who after ingesting a food containing gluten and experiencing a flu-like syndrome, developed severe diarrhea, vomiting, weight loss (15 kg), hypotension, renal dysfunction, hypokalemia and metabolic acidosis.

Materials and methods: Admission to the Intensive Care Unit and exclusion of an infectious cause was determined.

Results: After receiving noradrenaline, methylprednisolone and correction of ionic disturbances, the patient recovered rapidly and had no further complication.

Conclusion: The Authors intend to increase awareness of celiac crisis, because despite being extremely rare in adults, it is potentially fatal and an quick diagnosis and treatment are crucial.

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References

Magro R, Pullicino E. Coeliac crisis with severe hypokalemia in an adult. Malta Medical Journal 2012;24:36–8.

Jamma S, Rubio-Tapia A, Kelly CP, et al. Celiac crisis is a rare but serious complication of celiac disease in adults. Clin Gastroenterol Hepatol 2010;8:587–90.

Fasano A, Catassi C. Current Approaches to Diagnosis and Treatment of Celiac Disease: An Evolving Spectrum. Gastroenterology 2001;120:636–51.

Ludvigsson JF, Bai JC, Biagi F, Card TR, Ciacci C et al. Diagnosis and management of adult coeliac disease: guidelines from the British Society of Gastroenterology. Gut 2014;63:1210–28.

Bai JC, Fried M, Roberto G, et al. Celiac disease - World Gastroenterology Organisation Global Guidelines - World Gastroenterology Organisation 2012:1–25.

Published: 2016-02-18

Issue: Vol. 3 No. 2 (view)

Section: Articles

How to cite:
1.
Ferreira RV, Pina R, Carvalho N, Carvalho A. Celiac Crisis in an Adult: Raising Awareness to a Life-Threatening Condition. EJCRIM [Internet]. 2016Feb.18 [cited 2020Sep.25];3(2). Available from: https://ejcrim.com/index.php/EJCRIM/article/view/384

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