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Unexplained infertility as primary presentation of celiac disease, a case report and literature review
Mohammadreza Ghadir1, Abolfazl Iranikhah1, Mahboubeh Jandaghi1
1Department of Gastroenterology, Qom University of Medical Sciences, Qom, Iran.
Background:
Celiac sprue (gluten sensitive enteropathy) is an autoimmune disease which is hereditary and its pathology mainly bases on immunologic intolerance to gluten. It has a vast variety of signs and symptoms and its clinical features range from a silent disease to a typical gastrointestinal disorder. In this study we reviewed and summarized some other related issues about this disease and its relation with infertility.
Case:
The case is a 26 years old lady who had referred to a gynecologist because of infertility for 2 years and later it revealed that she has celiac sprue.
Conclusion:
Screening for its silent or subtle types especially among suspicious cases such as unexplained infertility seems to be a cost effective action. Meanwhile, in time administration of a gluten-free diet can lead to an almost complete cure.
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