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Acute onset of celiac disease in the puerperium

R Pauzner1, P Rothman, E Schwartz

  • 1Department of Internal Medicine E, Sheba Medical Center, Tel Hashomer, Israel.

An acute, severe onset of celiac disease is very unusual in adults. We describe its occurrence postpartum in two patients. These, together with two similar cases previously reported, suggest a causal association with the puerperium. Possible causes include potentiation of a pathogenetic immune reaction and hormonal mechanisms.

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