Abstract
Celiac crisis is a life-threatening cause of acute diarrhea and multiple metabolic emergencies. It is extremely rare these days. We successfully managed a 5-year old girl with celiac crisis for multiple metabolic problemsviz., hyponatremia, hypokalemia, metabolic acidosis, hyperglycemia and polyuria in Pediatric Intensive Care Unit. Steroid therapy was life saving. The case may serve as a reminder of the condition, which presents a difficult therapeutic challenge.
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References
Farrell RJ, Kelly CP. Diagnosis of celiac sprue.Am J Gastroenterol 2001; 96:3237–3246.
Mohindra S, Yachha SK, Srivastava Aet al. Coeliac disease in Indian children: assessment of clinical, nutritional and pathologic characteristics.J Health Popul Nutr 2001; 19:204–208.
Thapa BR. Celiac Disease: Indian Experience. In Sachdev HPS and Choudhury P, eds.Nutrition in ChildrenDeveloping Country Concerns. New Delhi, B. I. Publications, 1994; 355–375.
Mittal SK. Chronic diarrhea in tropics.Indian J Pediatr 1999; 66 (1 Suppl): S4–15.
Wolf I, Mouallem M, Farfel Z. Adult celiac disease presented with celiac crisis: severe diarrhea, hypokalemia and acidosis.J Clin Gastroenterol 2000; 30:324–326.
Adhiyaman V, Adhiyaman S, Vaishnavi A. Life-threatening hypomagnesemic hypocalcemia and hypokalemia in celiac disease.Am J Gastroenterol 2001; 96:3473.
Singhi S, Gautam KS, Lal A. Safety and efficacy of concentrated potassium chloride solution infusion for rapid correction of hypokalemia.Indian Pediatr 1994; 31:565–569.
Lloyd-Still JD, Grand RJ, Khaw KT, Shwachman H. The use of corticosteroids in celiac crisis.J Pediatr 1972; 81:1074–1081.
Venkateswarlu K, Prasad GR, Malik AK, Nagi B, Mehta S. Celiac Disease.Indian Pediatr 1984; 21:897–900.
Wall AJ, Douglas AP, Booth CC, Pearse AGE. Response of the jejunal mucosa in adult celiac disease to oral prednisolone.Gut 1970; 11:7–14.
Bramble MG, Watson AJ, Scott J, Peters TJ, Record CO. Clinical, biochemical and morphological responses of patients with villous atrophy to oral betamethasone valerate and clobetasone butyrate.Digestion 1981; 22:281–288.
Troncone R, Greco L, Auricchio S. Gluten-sensitive enteropathy.Pediatr Clin North Am 1996; 43:355–373.
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Baranwal, A.K., Singhi, S.C., Thapa, B.R. et al. Celiac crisis. Indian J Pediatr 70, 433–435 (2003). https://doi.org/10.1007/BF02723619
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DOI: https://doi.org/10.1007/BF02723619