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[Celiac disease and pregnancy. A case report].
L Roget1, J F Peresse, E Opoix
1Groupe de Médecine Digestive, Grenoble.
Summary
Coeliac disease during pregnancy is rare but requires prompt diagnosis and treatment. A gluten-free diet rapidly improves maternal and fetal health, with intestinal healing occurring over months.
Area of Science:
- Gastroenterology
- Obstetrics
Background:
- Coeliac disease is an autoimmune disorder triggered by gluten ingestion.
- Pregnancy presents unique physiological challenges that can affect autoimmune conditions.
Observation:
- A rare case of coeliac disease onset during pregnancy is presented.
- Symptoms necessitate early diagnosis and intervention to ensure fetal and maternal well-being.
Findings:
- Duodenoscopy revealed a characteristic mosaic mucosal pattern.
- Biopsy confirmed total villous atrophy, indicative of coeliac disease.
- A strict gluten-free diet was initiated as the primary treatment.
Implications:
- The gluten-free diet led to rapid clinical improvement within days.
- Biochemical markers normalized within weeks, indicating treatment efficacy.
- Villous structure recovery was observed over several months, highlighting the diet's restorative effects.