Celiac crisis in patients with celiac disease. Case report

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Celiac crisis (CC) is a rare life-threatening course of celiac disease, observed mainly in children. In adults, CK can be the first manifestation of the disease and, very rarely, a relapse that occurs in patients who do not follow the gluten-free diet (AGD). Triggers can be stress, surgery, childbirth, etc. A clinical observation of CC developed in a 49-year-old patient with previously established latent celiac disease with subtotal villous atrophy, stage Marsh III C is presented. The patient did not comply with AHD. After severe angina, she developed anorexia, diarrhea, emaciation, coagulopathy, bilateral pulmonary embolism, infarction pneumonia, and enterogenic sepsis. As a result of intensive therapy with prednisolone, Fraxiparine, antibiotics, fresh frozen plasma and strict adherence to hypertension, remission of the disease was achieved.

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Aleksandra Babanova

Loginov Moscow Clinical Research Center

编辑信件的主要联系方式.
Email: a.babanova@mknc.ru
ORCID iD: 0000-0001-9263-8324

лаборант-исследователь

俄罗斯联邦, Moscow

Larisa Krums

Loginov Moscow Clinical Research Center

Email: a.babanova@mknc.ru
ORCID iD: 0000-0003-0692-7133

доктор медицинских наук, старший научный сотрудник, врач-гастроэнтеролог

俄罗斯联邦, Moscow

Svetlana Bykova

Loginov Moscow Clinical Research Center

Email: a.babanova@mknc.ru
ORCID iD: 0000-0001-9576-2953

кандидат медицинских наук, врач-гастроэнтеролог, заведующий отделением невоспалительной патологии кишечника

俄罗斯联邦, Moscow

Asfold Parfenov

Loginov Moscow Clinical Research Center

Email: a.babanova@mknc.ru
ORCID iD: 0000-0002-9782-4860

доктор медицинских наук, профессор, руководитель отделения патологии кишечника

俄罗斯联邦, Moscow

Galina Dudina

Loginov Moscow Clinical Research Center

Email: a.babanova@mknc.ru
ORCID iD: 0000-0001-9673-1067

доктор медицинских наук, врач-гематолог, заведующий гематологическим отделением

俄罗斯联邦, Moscow

Elena Sabelnikova

Loginov Moscow Clinical Research Center

Email: a.babanova@mknc.ru
ORCID iD: 0000-0001-7519-2041

доктор медицинских наук, заместитель директора по научной работе

俄罗斯联邦, Moscow

Sergei Khomeriki

Loginov Moscow Clinical Research Center

Email: a.babanova@mknc.ru
ORCID iD: 0000-0003-4308-8009

доктор медицинских наук, профессор, руководитель лаборатории патоморфологии

俄罗斯联邦, Moscow

Konstantin Lesko

Loginov Moscow Clinical Research Center

Email: a.babanova@mknc.ru
ORCID iD: 0000-0001-9814-0172

кандидат медицинских наук, врач-рентгенолог

俄罗斯联邦, Moscow

Saria Dbar

Loginov Moscow Clinical Research Center

Email: a.babanova@mknc.ru
ORCID iD: 0000-0001-6516-7782

младший научный сотрудник врач-гастроэнтеролог

俄罗斯联邦, Moscow

参考

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  2. Jamma S, Rubio-Tapia A, Kelly CP, et al. Celiac crisis is rare but a serious complication of celiac disease in adults. Clin Gastroenterol Hepatol. 2010;8(7):587-90. doi: 10.1016/j.cgh.2010.04.009/
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