Celiac Crisis Associated with Herpes Simplex Virus Esophagitis

Celiac crisis is a rare presentation of celiac disease that is characterized by life-threatening electrolyte abnormalities, vitamin and mineral deficiencies, and diarrhea. Triggers for celiac crisis include major surgeries, pancreatitis, and infections of cytomegalovirus, and salmonella. A 24-year-o...

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Bibliographic Details
Published in:ACG case reports journal 2016-11, Vol.3 (4), p.e159
Main Authors: Chen, Alan, Linz, Christopher M, Tsay, Julie L, Jin, Ming, El-Dika, Samer S
Format: Article
Language:English
Subjects:
Case Report
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Summary:Celiac crisis is a rare presentation of celiac disease that is characterized by life-threatening electrolyte abnormalities, vitamin and mineral deficiencies, and diarrhea. Triggers for celiac crisis include major surgeries, pancreatitis, and infections of cytomegalovirus, and salmonella. A 24-year-old woman presented with celiac crisis associated with severe herpes simplex virus (HSV) esophagitis. This case demonstrates that nutritional deficiencies seen in celiac disease can result in a relative immunodeficiency, which may lead to other infectious complications. Additionally, early recognition of celiac crisis is imperative as the metabolic derangements may be life-threatening, and therapy with gluten restriction and nutritional repletion is effective.
ISSN:2326-3253
2326-3253
DOI:10.14309/crj.2016.132