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Partially responsive celiac disease resulting from small intestinal bacterial overgrowth and lactose intolerance
BACKGROUND: Celiac disease is a common cause of chronic diarrhea and malabsorption syndrome all over the world. Though it was considered uncommon in India in past, it is being described frequently recently. Some patients with celiac disease do not improve despite gluten free diet (GFD). A study desc...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2004
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC420464/ https://www.ncbi.nlm.nih.gov/pubmed/15154971 http://dx.doi.org/10.1186/1471-230X-4-10 |
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author | Ghoshal, Uday C Ghoshal, Ujjala Misra, Asha Choudhuri, Gourdas |
author_facet | Ghoshal, Uday C Ghoshal, Ujjala Misra, Asha Choudhuri, Gourdas |
author_sort | Ghoshal, Uday C |
collection | PubMed |
description | BACKGROUND: Celiac disease is a common cause of chronic diarrhea and malabsorption syndrome all over the world. Though it was considered uncommon in India in past, it is being described frequently recently. Some patients with celiac disease do not improve despite gluten free diet (GFD). A study described 15 cases of celiac disease unresponsive to GFD in whom small intestinal bacterial overgrowth (SIBO) or lactose intolerance was the cause for unresponsiveness. CASE PRESENTATION: During a three-year period, 12 adult patients with celiac disease were seen in the Luminal Gastroenterology Clinic in a tertiary referral center in northern India. Two of these 12 patients (16.6%), who did not fully respond to GFD initially, are presented here. Unresponsiveness resulted from SIBO in one and lactose intolerance in the other. The former patient responded to antibiotics and the latter to lactose withdrawal in addition to standard GFD. CONCLUSION: In patients with celiac disease partially responsive or unresponsive to GFD, SIBO and lactose intolerance should be suspected; appropriate investigations and treatment for these may result in complete recovery. |
format | Text |
id | pubmed-420464 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2004 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-4204642004-06-11 Partially responsive celiac disease resulting from small intestinal bacterial overgrowth and lactose intolerance Ghoshal, Uday C Ghoshal, Ujjala Misra, Asha Choudhuri, Gourdas BMC Gastroenterol Case Report BACKGROUND: Celiac disease is a common cause of chronic diarrhea and malabsorption syndrome all over the world. Though it was considered uncommon in India in past, it is being described frequently recently. Some patients with celiac disease do not improve despite gluten free diet (GFD). A study described 15 cases of celiac disease unresponsive to GFD in whom small intestinal bacterial overgrowth (SIBO) or lactose intolerance was the cause for unresponsiveness. CASE PRESENTATION: During a three-year period, 12 adult patients with celiac disease were seen in the Luminal Gastroenterology Clinic in a tertiary referral center in northern India. Two of these 12 patients (16.6%), who did not fully respond to GFD initially, are presented here. Unresponsiveness resulted from SIBO in one and lactose intolerance in the other. The former patient responded to antibiotics and the latter to lactose withdrawal in addition to standard GFD. CONCLUSION: In patients with celiac disease partially responsive or unresponsive to GFD, SIBO and lactose intolerance should be suspected; appropriate investigations and treatment for these may result in complete recovery. BioMed Central 2004-05-22 /pmc/articles/PMC420464/ /pubmed/15154971 http://dx.doi.org/10.1186/1471-230X-4-10 Text en Copyright © 2004 Ghoshal et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL. |
spellingShingle | Case Report Ghoshal, Uday C Ghoshal, Ujjala Misra, Asha Choudhuri, Gourdas Partially responsive celiac disease resulting from small intestinal bacterial overgrowth and lactose intolerance |
title | Partially responsive celiac disease resulting from small intestinal bacterial overgrowth and lactose intolerance |
title_full | Partially responsive celiac disease resulting from small intestinal bacterial overgrowth and lactose intolerance |
title_fullStr | Partially responsive celiac disease resulting from small intestinal bacterial overgrowth and lactose intolerance |
title_full_unstemmed | Partially responsive celiac disease resulting from small intestinal bacterial overgrowth and lactose intolerance |
title_short | Partially responsive celiac disease resulting from small intestinal bacterial overgrowth and lactose intolerance |
title_sort | partially responsive celiac disease resulting from small intestinal bacterial overgrowth and lactose intolerance |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC420464/ https://www.ncbi.nlm.nih.gov/pubmed/15154971 http://dx.doi.org/10.1186/1471-230X-4-10 |
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