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Bratisl Lek Listy ; 114(9): 547-8, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24020715

RESUMO

A variety of signs and symptoms have been reported in regards to the typical and atypical presentations of CD. It is now well recognised that its onset may occur at any age and that atypical forms of CD are much more prevalent than its classic form (1).In this case, where the patient presented with high BMI and evidence of grade I of fatty liver disease, CD was suspected due to mildly abnormal bloating, cryptogenic hypertransaminasemia, abnormal LFT and poor response to fatty liver treatment. This presentation type is not uncommon; diagnosis was confirmed by the presence of subtotal villous atrophy in the biopsy specimen, positive specific antibody screening (AGA, tTG and EMA antibodies), negative antibody screening and normalization of liver enzymes on a gluten-free diet (Tab. 2, Ref. 13).


Assuntos
Doença Celíaca/complicações , Doença Celíaca/diagnóstico , Fígado Gorduroso/diagnóstico , Doenças Metabólicas/sangue , Doenças Metabólicas/complicações , Transaminases/sangue , Adulto , Diagnóstico Diferencial , Humanos , Masculino
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