Celiac crisis in an adult on immunosuppressive therapy

Canadian Journal of Gastroenterology

Volumn 22, Issue 6, 2008, Pages 574-576

  Al Shammeri, Owayed ^a   Duerksen, Donald R ^a,b  

^a UNIVERSITY OF MANITOBA   (Canada)

^b ST BONIFACE GENERAL HOSPITAL   (Canada)

Author keywords

Acidosis; Celiac crisis; Celiac disease

Indexed keywords

AZATHIOPRINE; BICARBONATE; IMMUNOGLOBULIN A; PREDNISONE; SODIUM CHLORIDE; SPIRONOLACTONE;

ADULT; ANAMNESIS; ARTERIAL GAS; ARTICLE; ASCITES; AUTOIMMUNE HEPATITIS; CASE REPORT; CELIAC DISEASE; CLINICAL FEATURE; COLONOSCOPY; COMPUTER ASSISTED TOMOGRAPHY; DEHYDRATION; DIARRHEA; DRUG DOSE INCREASE; DRUG MEGADOSE; FEMALE; FLUID THERAPY; GLUTEN FREE DIET; HUMAN; HYPOKALEMIA; IMMUNOASSAY; INFLAMMATORY INFILTRATE; INTESTINE BIOPSY; INTESTINE CRYPT; INTESTINE VILLUS ATROPHY; LIVER CIRRHOSIS; LYMPHOCYTIC COLITIS; METABOLIC ACIDOSIS; MICROSCOPIC COLITIS; PRIORITY JOURNAL; WEAKNESS;

EID: 49449106165     PISSN: 08357900     EISSN: None     Source Type: Journal    
DOI: 10.1155/2008/453520     Document Type: Article

References (25)

1. Fasano A. Celiac disease - how to handle a clinical chameleon. N Engl J Med 2003;348:2568-70.
2. Wolf I, Mouallem M, Farfel Z. Adult celiac disease presented with celiac crisis: Severe diarrhea, hypokalemia, and acidosis. J Clin Gastroenterol 2000;30:324-26.
3. Andersen DH, di Sant'Agnese PA. Idiopathic celiac disease. I. Mode of onset and diagnosis. Pediatrics 1953;11:207-23.
4. di Sant'Agnese PA. Idiopathic celiac disease. II. Course and prognosis. Pediatrics 1953;11:224-37.
5. Rostom A, Murray JA, Kagnoff MF. American Gastroenterological Association (AGA) Institute technical review on the diagnosis and management of celiac disease. Gastroenterology 2006;131:1981-2002.
6. Ozaslan E, Koseoglu T, Kayhan B. Coeliac crisis in adults: Report of two cases. Eur J Emerg Med 2004;11:363-5.
7. Gupta T, Mandot A, Desai D, Abraham P, Joshi A. Celiac crisis with hypokalemic paralysis in a young lady. Indian J Gastroenterol 2006;25:259-60.
8. DuBois RN, Lazenby AJ, Yardley JH, Hendrix TR, Bayless TM, Giardiello FM. Lymphocytic enterocolitis in patients with 'refractory sprue'. JAMA 1989;262:935-7.
9. Fine KD, Meyer RL, Lee EL. The prevalence and causes of chronic diarrhea in patients with celiac sprue treated with a gluten-free diet. Gastroenterology 1997;112:1830-8. (Erratum in 1998;114:424-5).
10. Leffler DA, Dennis M, Hyett B, Kelly E, Schuppan D, Kelly CP. Etiologies and predictors of diagnosis in nonresponsive celiac disease. Clin Gastroenterol Hepatol 2007;5:445-50.
11. Protic M, Jojic N, Bojic D, et al. Mechanism of diarrhea in microscopic colitis. World J Gastroenterol 2005;11:5535-9.
12. O'Mahony S, Howdle PD, Losowsky MS. Review article: Management of patients with non-responsive coeliac disease. Aliment Pharmacol Ther 1996;10:671-80.
13. Hamilton JD, Chambers RA, Wynn-Williams A. Role of gluten, prednisone, and azathioprine in non-responsive coeliac disease. Lancet 1976;1:1213-6.
14. Goerres MS, Meijer JW, Wahab PJ, et al. Azathioprine and prednisone combination therapy in refractory coeliac disease. Aliment Pharmacol Ther 2003;18:487-94.
15. Maurino E, Niveloni S, Chernavsky A, et al. Azathioprine in refractory sprue: Results from a prospective, open-label study. Am J Gastroenterol 2002;97:2595-602.
16. Wahab PJ, Crusius JB, Meijer JW, Uil JJ, Mulder CJ. Cyclosporin in the treatment of adults with refractory coeliac disease - an open pilot study. Aliment Pharmacol Ther 2000;14:767-74.
17. Brar P, Lee S, Lewis S, Egbuna I, Bhagar G, Green PH. Budesonide in the treatment of refractory celiac disease. Am J Gastroenterol 2007;102:2265-9.
18. Daum S, Ipczynski R, Heine B, Schulzke JD, Zeitz M, Ullrich R. Therapy with budesonide in patients with refractory sprue. Digestion 2006;73:60-8.
19. Gaia S, Bruno M, Marzano A, et al. A case of ulcerative jejunoileitis treated with anti tumor necrosis factor-alpha antibodies. Panminerva Med 2005;47:269-72.
20. Turner SM, Moorghen M, Probert CS. Refractory coeliac disease: Remission with infliximab and immunomodulators. Eur J Gastroenterol Hepatol 2005;17:667-9.
21. Gillett HR, Arnott ID, McIntyre M, et al. Successful infliximab treatment for steroid-refractory celiac disease: A case report. Gastroenterology 2002;122:800-5.
22. Mulder CJ, Wahab PJ, Meijer JW, Metselaar E. A pilot study of recombinant human interleukin-10 in adults with refractory coeliac disease. Eur J Gastroenterol Hepatol 2001;13:1183-8.
23. Duerksen DR, Ma MM, Jewell LD. Failure of immunosuppressive therapy to prevent relapse of celiac sprue. J Clin Gastroenterol 1995;21:255-7.
24. Lloyd-Still JD, Grand RJ, Khaw KT, Shwachman H. The use of corticosteroids in celiac crisis. J Pediatr 1972;81:1074-81.
25. Baranwal AK, Singhi SC, Thapa BR, Kakkar N. Celiac crisis. Indian J Pediatr 2003;70:433-5.