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Rev Med Interne ; 30(6): 516-8, 2009 Jun.
Artigo em Francês | MEDLINE | ID: mdl-19249140

RESUMO

INTRODUCTION: Adult coeliac disease revealed by coeliac crisis and quadriplegia due to potassium depletion is an extremely rare situation. CASE REPORT: A 26-year-old woman presented with a suddenly developed weakness of all four limbs and a severe diarrhea. Authors emphasize coeliac crisis, which is a presenting feature of coeliac disease, characterized by acute diarrhea with life-threatening acid base and electrolyte abnormalities. The patient improved with correction of hypokalemia and gluten-free diet. CONCLUSION: A severe acute diarrhea with metabolic and systemic complications, the so-called coeliac crisis, is a possible presenting clinical feature of a previously undiagnosed adult celiac disease.


Assuntos
Doença Celíaca/diagnóstico , Hipopotassemia/etiologia , Quadriplegia/etiologia , Doença Aguda , Adulto , Doença Celíaca/dietoterapia , Diarreia/etiologia , Dieta Livre de Glúten , Feminino , Humanos , Hipopotassemia/complicações , Hipopotassemia/dietoterapia , Quadriplegia/dietoterapia
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