Publication: Celiac Crisis Presenting with Refractory Hypokalemia and Bleeding Diathesis
Date
2014
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Celiac disease is an immune mediated disorder elicited by the ingestion of gluten
in genetically susceptible person and associated with some HLA subtypes. It is
characterized by chronic inflammation of small intestine associated with villous
atrophy. Symptoms usually appear when weaning from breast milk is done and
gluten is introduced in diet. Failures to thrive, chronic diarrhea, vomiting abdominal
distension are usual symptoms. Celiac crisis is rare but well known complication
of celiac disease presenting with various systemic and metabolic manifestations
like hypokalemia, hyponatremia, shock and bleeding diathesis. Celiac crisis usually
has some underlying precipitating factor and is more common in patient with
noncompliance with gluten free diet. We report a case of 14 year and three months
old female child, a known case of celiac disease having the poor compliance with
gluten free diet, presenting in celiac crisis with shock, refractory hypokalemia and
bleeding diathesis.
KEY WORDS
Bleeding diathesis, celiac crisis, refractory hypokalemia
Description
Mehta S, Jain J, Mulye S
Department of Pediatrics
Sri Aurobindo Medical College & PG Institute Indore, Madhya Pradesh, India
Keywords
Bleeding diathesis, Celiac crisis, Refractory hypokalemia