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Celiac crisis
Arun K Baranwal1, Sunit C Singhi, B R Thapa
1Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Insights
Celiac crisis, a rare but life-threatening condition causing severe diarrhea and metabolic emergencies, was successfully treated in a 5-year-old girl using steroid therapy. This case highlights the critical management of associated metabolic problems.
Area of Science:
- Pediatric critical care medicine
- Gastroenterology
- Endocrinology
Background:
- Celiac crisis is a rare, severe manifestation of celiac disease characterized by acute diarrhea and metabolic derangements.
- It presents a significant diagnostic and therapeutic challenge, particularly in pediatric intensive care settings.
Observation:
- A 5-year-old girl presented with celiac crisis, exhibiting multiple metabolic emergencies including hyponatremia, hypokalemia, metabolic acidosis, hyperglycemia, and polyuria.
- The patient required intensive management in the Pediatric Intensive Care Unit.
Findings:
- Successful management of the celiac crisis and its associated metabolic complications was achieved.
- Steroid therapy was identified as a life-saving intervention for this critical condition.
Implications:
- This case underscores the importance of recognizing celiac crisis as a potential cause of severe metabolic emergencies in children.
- It emphasizes the critical role of prompt diagnosis and steroid therapy in improving outcomes for patients with celiac crisis.
- The case serves as a reminder for clinicians managing complex pediatric cases with metabolic disturbances.
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 problems viz., 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.