Image Case : Celiac Disease in 14 Years Old Girl with Type 1 Diabetes Mellitus

Article 7, Volume 9, Issue 3, September 2019, Page 241-241  

Document Type: Case report

DOI: 10.21608/AEJI.2019.46457

Author

Tarik I Zaher email

Tropical Medicine Department, Faculty of Medicine, Zagazig University, Egypt.

Abstract

Celiac disease  is  an autoimmune disease that primarily affects the small intestine. Classic symptoms in children include gastrointestinal disorders  as chronic diarrhea, malabsorption  and  failure to grow normally. It is associated with other autoimmune diseases, such as thyroiditis  and diabetes mellitus type 1. Mild or absent gastrointestinal symptoms  may be found specially in older people.Celiac disease may be presented with rare but life threatening crisis. 14 years old underbuilt anemic (iron deficiency) girl with type 1 diabetes mellitus without gastrointestinal symptoms was endoscopicaly examined for clinical suspicion of Celiac disease. On endoscopic examination there was fissurization (cracked-mud ) of the mucosa of the duodenal bulb as well as descending duodenum. Pathological examination of the endosopic biopsies confirmed the diagnosis.Upper gastrointestinal endoscopy in celiac disease usually shows scalloped (reduced folds) and blunted duodenal mucosa. Duodenal biopsy shows villous blunting with intraepithelial lymphocytosis. 

Keywords

Celiac disease; diabetes mellitus type 1

Main Subjects

Gastroenetrology