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Published on: December 15, 2011
[Celiac disease associated with antiphospholipid syndrome]
1Servicio de Gastroenterología. Hospital Español de Mendoza. Argentina. arturo.jorge@speedy.com.at
Celiac disease may be linked to antiphospholipid syndrome, a condition causing blood clots and fetal death. This association suggests antiphospholipid syndrome could explain fetal loss in celiac disease patients.
Area of Science:
- Immunology
- Gastroenterology
- Obstetrics
Background:
- Celiac disease is an immune-mediated disorder.
- Antiphospholipid syndrome (APS) is characterized by thrombosis and pregnancy complications.
- Few cases report an association between celiac disease and APS.
Observation:
- Case 1: A 26-year-old female with celiac disease experienced fetal death and later had elevated anticardiolipin antibodies.
- Case 2: A 48-year-old female with celiac disease presented with recurrent thrombosis and later showed elevated IgM anticardiolipin antibodies.
- Case 3: A 38-year-old female with celiac disease had spontaneous abortions and a transient ischemic attack, with elevated IgM anticardiolipin antibodies.
Findings:
- Elevated anticardiolipin antibodies (IgG and/or IgM) were observed in all three cases.
- Recurrent thrombosis and/or fetal death were present in all cases.
- Celiac disease diagnosis preceded the manifestation of APS symptoms in all reported cases.
Implications:
- The findings suggest a potential link between celiac disease and antiphospholipid syndrome.
- APS may be an underlying cause of fetal death in women with celiac disease.
- Further research is warranted to explore the etiological relationship and clinical management.
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