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Hypoalbuminemia and generalized edema as an atypical presentation of celiac disease
The clinical presentation of celiac disease has evolved significantly over the last few decades. Previously defined as a malabsorption syndrome in pediatric patients, now it is considered an autoimmune disorder with diverse systemic manifestations among all age groups. We report a case of 56-year-ol...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7114008/ https://www.ncbi.nlm.nih.gov/pubmed/32318495 http://dx.doi.org/10.4103/jfmpc.jfmpc_1116_19 |
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author | Meena, Durga S. Kumar, Deepak Bohra, Gopal K. Choudhary, Sahadev |
author_facet | Meena, Durga S. Kumar, Deepak Bohra, Gopal K. Choudhary, Sahadev |
author_sort | Meena, Durga S. |
collection | PubMed |
description | The clinical presentation of celiac disease has evolved significantly over the last few decades. Previously defined as a malabsorption syndrome in pediatric patients, now it is considered an autoimmune disorder with diverse systemic manifestations among all age groups. We report a case of 56-year-old male presented with pedal edema and gradually progressive abdomen distention for the last 3 months. Serological evaluation and duodenal biopsy reports were suggestive of celiac disease. The patient was advised gluten-free diet, after 12 weeks, the patient became asymptomatic with the resolution of ascites and peripheral edema. According to the literature, there are few reports of protein-losing enteropathy as an initial presentation of celiac disease. The possibility of celiac disease should be considered even in the setting of atypical symptoms. |
format | Online Article Text |
id | pubmed-7114008 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-71140082020-04-21 Hypoalbuminemia and generalized edema as an atypical presentation of celiac disease Meena, Durga S. Kumar, Deepak Bohra, Gopal K. Choudhary, Sahadev J Family Med Prim Care Case Report The clinical presentation of celiac disease has evolved significantly over the last few decades. Previously defined as a malabsorption syndrome in pediatric patients, now it is considered an autoimmune disorder with diverse systemic manifestations among all age groups. We report a case of 56-year-old male presented with pedal edema and gradually progressive abdomen distention for the last 3 months. Serological evaluation and duodenal biopsy reports were suggestive of celiac disease. The patient was advised gluten-free diet, after 12 weeks, the patient became asymptomatic with the resolution of ascites and peripheral edema. According to the literature, there are few reports of protein-losing enteropathy as an initial presentation of celiac disease. The possibility of celiac disease should be considered even in the setting of atypical symptoms. Wolters Kluwer - Medknow 2020-02-28 /pmc/articles/PMC7114008/ /pubmed/32318495 http://dx.doi.org/10.4103/jfmpc.jfmpc_1116_19 Text en Copyright: © Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Meena, Durga S. Kumar, Deepak Bohra, Gopal K. Choudhary, Sahadev Hypoalbuminemia and generalized edema as an atypical presentation of celiac disease |
title | Hypoalbuminemia and generalized edema as an atypical presentation of celiac disease |
title_full | Hypoalbuminemia and generalized edema as an atypical presentation of celiac disease |
title_fullStr | Hypoalbuminemia and generalized edema as an atypical presentation of celiac disease |
title_full_unstemmed | Hypoalbuminemia and generalized edema as an atypical presentation of celiac disease |
title_short | Hypoalbuminemia and generalized edema as an atypical presentation of celiac disease |
title_sort | hypoalbuminemia and generalized edema as an atypical presentation of celiac disease |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7114008/ https://www.ncbi.nlm.nih.gov/pubmed/32318495 http://dx.doi.org/10.4103/jfmpc.jfmpc_1116_19 |
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