Celiac crisis

被引:22
作者
Arun K. Baranwal
Sunit C Singhi
B. R. Thapa
N. Kakkar
机构
[1] Department of Pediatrics, Postgrad. Inst. of Med. Educ./Res., Chandigarh
[2] Department of Gastroenterology, Postgrad. Inst. of Med. Educ./Res., Chandigarh
[3] Department of Pathology, Postgrad. Inst. of Med. Educ./Res., Chandigarh
[4] Pediatric Intensive Care Unit, Advanced Pediatric Center, PGIMER
关键词
Celiac crisis; Celiac disease; Children; Corticosteroid therapy; Critical care; Hyperglycemia; Hypokalemia; Malabsorption;
D O I
10.1007/BF02723619
中图分类号
学科分类号
摘要
Celiac crisis is a life-threatening cause of acute diarrhea and multiple metabolic emergencies. It is extremely rare these days. We successfully managed a 5-year old girl with celiac crisis for multiple metabolic problems viz., hyponatremia, hypokalemia, metabolic acidosis, hyperglycemia and polyuria in Pediatric Intensive Care Unit. Steroid therapy was life saving. The case may serve as a reminder of the condition, which presents a difficult therapeutic challenge.
引用
收藏
页码:433 / 435
页数:2
相关论文
共 12 条
[1]  
Farrell R.J., Kelly C.P., Diagnosis of celiac sprue, Am J Gastroenterol, 96, pp. 3237-3246, (2001)
[2]  
Mohindra S., Yachha S.K., Srivastava A., Et al., Coeliac disease in Indian children: Assessment of clinical, nutritional and pathologic characteristics, J Health Popul Nutr, 19, pp. 204-208, (2001)
[3]  
Thapa B.R., Celiac disease: Indian experience, Nutrition in Children-Developing Country Concerns, pp. 355-375, (1994)
[4]  
Mittal S.K., Chronic diarrhea in tropics, Indian J Pediatr, 66, 1 SUPPL., (1999)
[5]  
Wolf I., Mouallem M., Farfel Z., Adult celiac disease presented with celiac crisis: Severe diarrhea, hypokalemia and acidosis, J Clin Gastroenterol, 30, pp. 324-326, (2000)
[6]  
Adhiyaman V., Adhiyaman S., Vaishnavi A., Life-threatening hypomagnesemic hypocalcemia and hypokalemia in celiac disease, Am J Gastroenterol, 96, (2001)
[7]  
Singhi S., Gautam K.S., Lal A., Safety and efficacy of concentrated potassium chloride solution infusion for rapid correction of hypokalemia, Indian Pediatr, 31, pp. 565-569, (1994)
[8]  
Lloyd-Still J.D., Grand R.J., Khaw K.T., Shwachman H., The use of corticosteroids in celiac crisis, J Pediatr, 81, pp. 1074-1081, (1972)
[9]  
Venkateswarlu K., Prasad G.R., Malik A.K., Nagi B., Mehta S., Celiac disease, Indian Pediatr, 21, pp. 897-900, (1984)
[10]  
Wall A.J., Douglas A.P., Booth C.C., Pearse A.G.E., Response of the jejunal mucosa in adult celiac disease to oral prednisolone, Gut, 11, pp. 7-14, (1970)