Year 2024 / Volume 116 / Number 12
Letter
Celiac disease presenting as hemorrhagic shock: a rare complication

733-734

DOI: 10.17235/reed.2024.10148/2023

Catarina Costa, Ana Reinas,

Abstract
Celiac disease (CD) is a systemic autoimmune disorder triggered by ingested gluten in patients with genetic susceptibility, with rising incidence in adults. In this population, symptoms can be atypical. We report the case of a 71-year-old woman that presented with coagulopathy due to severe vitamin K deficiency and hemorrhagic shock, as well as cholestatic hepatitis and chronic diarrhea. Serological studies were negative for CD, but a biopsy demonstrated duodenal atrophy and HLA typing was positive for DQ2.5, pointing to this diagnosis. The patient responded favorably to a gluten free diet. This case highlights the challenge in diagnosing CD in elderly patients due to its unusual manifestations, which can range from mild and unspecific to potentially life-threatening. The exclusion of other causes of duodenal atrophy is key in establishing the diagnosis, especially in seronegative cases, permitting the establishment of an adequate therapy and follow-up strategy.
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References
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Costa C, Reinas A. Celiac disease presenting as hemorrhagic shock: a rare complication. 10148/2023


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Publication history

Received: 07/12/2023

Accepted: 13/12/2023

Online First: 11/01/2024

Published: 13/12/2024

Article Online First time: 35 days

Article editing time: 372 days


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