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Portal hypertension and nodular regenerative hyperplasia in a patient with celiac disease
E Biecker1, J Trebicka, H-P Fischer
1Department of Internal Medicine I, University Hospital Bonn. erwin.biecker@ukb.uni-bonn.de
Insights
Nodular regenerative hyperplasia (NRH), a rare cause of portal hypertension, was found in a 19-year-old with celiac disease. This case highlights a rare association between these conditions.
Area of Science:
- Gastroenterology and Hepatology
- Immunology
Background:
- Nodular regenerative hyperplasia (NRH) is an uncommon condition leading to portal hypertension.
- NRH is typically linked to rheumatological or lymphoproliferative disorders.
Observation:
- A case report details a 19-year-old patient presenting with portal hypertension.
- Liver biopsy confirmed nodular regenerative hyperplasia (NRH) as the cause.
- The patient had diagnosed celiac disease, with no other apparent causes for NRH.
Findings:
- Celiac disease, while associated with liver issues, has a rarely documented link to NRH.
- This case presents a unique instance of NRH in a young patient with celiac disease.
Implications:
- The findings suggest a potential, albeit rare, association between celiac disease and NRH.
- Further research may elucidate the mechanisms linking these conditions.
- This case broadens the understanding of potential causes for portal hypertension in patients with celiac disease.
Abstract:
Nodular regenerative hyperplasia (NRH) is an uncommon cause of portal hypertension. The disease is often associated with rheumatological or lymphoproliferative disorders. We report the case of a 19-year old patient with celiac disease and portal hypertension. Biopsy of the liver revealed NRH as the underlying cause. There were no signs of autoimmune diseases or defects in the coagulation system that might cause NRH. Celiac disease is often associated with liver abnormalities, but the association with NRH has rarely been described. We discuss the possible relationship of celiac disease and NRH.
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