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Celiac disease in adult patients revealed by polyserositis: about a case.

Abstract Celiac disease (CD) is an autoimmune disease affecting multiple organs. It often presents as gastrointestinal manifestations associated with malabsorption. However, serosa involvement uncommonly reveals this enteropathy, making the diagnosis difficult. We here report the case of JA, aged 63 years, admitted to hospital to detect the cause of malabsorption syndrome associated with polyserositis signs including pleurisy, pericarditis, ascites and hydrocephalus. The diagnosis of CD was based on endoscopic signs without serology tests. Patient's evolution was partially favorable, due to lack of compliance with a gluten-free diet. Our study reports the first case of CD revealed by polyserositis. CD should be suspected in patients with malabsorption syndrome, in the absence of evocative signs.
PMID
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Authors

Mayor MeshTerms
Keywords

Celiac disease

malabsorption syndrome

polyserositis

Journal Title the pan african medical journal
Publication Year Start




PMID- 29515723
OWN - NLM
STAT- MEDLINE
DCOM- 20180313
LR  - 20180313
IS  - 1937-8688 (Electronic)
VI  - 28
DP  - 2017
TI  - [Celiac disease in adult patients revealed by polyserositis: about a case].
PG  - 105
LID - 10.11604/pamj.2017.28.105.10878 [doi]
AB  - Celiac disease (CD) is an autoimmune disease affecting multiple organs. It often 
      presents as gastrointestinal manifestations associated with malabsorption.
      However, serosa involvement uncommonly reveals this enteropathy, making the
      diagnosis difficult. We here report the case of JA, aged 63 years, admitted to
      hospital to detect the cause of malabsorption syndrome associated with
      polyserositis signs including pleurisy, pericarditis, ascites and hydrocephalus. 
      The diagnosis of CD was based on endoscopic signs without serology tests.
      Patient's evolution was partially favorable, due to lack of compliance with a
      gluten-free diet. Our study reports the first case of CD revealed by
      polyserositis. CD should be suspected in patients with malabsorption syndrome, in
      the absence of evocative signs.
FAU - El Euch, Mounira
AU  - El Euch M
AD  - Service de Medecine Interne << A >> Hopital Charles Nicolle, Tunis, Tunisie.
FAU - Haddad, Souha
AU  - Haddad S
AD  - Service de Medecine Interne << A >> Hopital Charles Nicolle, Tunis, Tunisie.
FAU - Mahfoudhi, Madiha
AU  - Mahfoudhi M
AD  - Service de Medecine Interne << A >> Hopital Charles Nicolle, Tunis, Tunisie.
AD  - Laboratoire de Recherche des Maladies Renales (LR00SP01), Hopital Charles
      Nicolle, Tunis, Tunisie.
FAU - Hamida, Fethi Ben
AU  - Hamida FB
AD  - Service de Medecine Interne << A >> Hopital Charles Nicolle, Tunis, Tunisie.
AD  - Laboratoire de Recherche des Maladies Renales (LR00SP01), Hopital Charles
      Nicolle, Tunis, Tunisie.
FAU - Jaziri, Fatima
AU  - Jaziri F
AD  - Service de Medecine Interne << A >> Hopital Charles Nicolle, Tunis, Tunisie.
FAU - Abdelghani, Khaoula Ben
AU  - Abdelghani KB
AD  - Service de Medecine Interne << A >> Hopital Charles Nicolle, Tunis, Tunisie.
FAU - Turki, Sami
AU  - Turki S
AD  - Service de Medecine Interne << A >> Hopital Charles Nicolle, Tunis, Tunisie.
FAU - Abdallah, Taieb Ben
AU  - Abdallah TB
AD  - Service de Medecine Interne << A >> Hopital Charles Nicolle, Tunis, Tunisie.
LA  - fre
PT  - Case Reports
PT  - Journal Article
TT  - Maladie coeliaque de l'adulte revelee par une polyserite.
DEP - 20171004
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
SB  - IM
MH  - Celiac Disease/*diagnosis/diet therapy
MH  - Diet, Gluten-Free
MH  - Endoscopy/methods
MH  - Humans
MH  - Malabsorption Syndromes/*etiology
MH  - Male
MH  - Middle Aged
MH  - Serositis/*etiology
PMC - PMC5837179
OTO - NOTNLM
OT  - Celiac disease
OT  - malabsorption syndrome
OT  - polyserositis
EDAT- 2018/03/09 06:00
MHDA- 2018/03/14 06:00
CRDT- 2018/03/09 06:00
PHST- 2016/10/05 00:00 [received]
PHST- 2017/05/01 00:00 [accepted]
PHST- 2018/03/09 06:00 [entrez]
PHST- 2018/03/09 06:00 [pubmed]
PHST- 2018/03/14 06:00 [medline]
AID - 10.11604/pamj.2017.28.105.10878 [doi]
AID - PAMJ-28-105 [pii]
PST - epublish
SO  - Pan Afr Med J. 2017 Oct 4;28:105. doi: 10.11604/pamj.2017.28.105.10878.
      eCollection 2017.