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Celiac Neuropathy: A Case Report from Kashmir (India)
K K Pandita1, Adnan Rafiq2, Sushil Razdan3
1Professor of Medicine.
The Journal of the Association of Physicians of India
|November 3, 2016
Summary
Celiac disease, typically rare in rice-eating regions like Kashmir, was diagnosed in a man with peripheral neuropathy. Gluten elimination significantly improved his neurological symptoms, marking a potential first case in India.
Area of Science:
- Neurology
- Gastroenterology
- Immunology
Background:
- Celiac disease is an autoimmune disorder triggered by gluten, historically considered rare in rice-staple regions.
- Kashmir, a region with rice as a primary cereal, presents a unique epidemiological context for celiac disease.
- Peripheral neuropathy can be an extra-intestinal manifestation of celiac disease.
Observation:
- An adult male from Kashmir presented with peripheral neuropathy.
- Standard investigations for neuropathy were inconclusive.
- The patient's history and clinical presentation prompted further investigation for celiac disease.
Findings:
- The patient was diagnosed with celiac disease.
- Neurological symptoms significantly improved upon strict adherence to a gluten-free diet.
- This case highlights the potential link between celiac disease and peripheral neuropathy in a low-prevalence area.
Implications:
- This case suggests celiac disease should be considered in the differential diagnosis of peripheral neuropathy, even in populations where it is considered rare.
- Early diagnosis and gluten withdrawal can lead to remarkable recovery of neurological function.
- Further research is warranted to understand the prevalence and presentation of celiac disease in diverse geographical and dietary settings, particularly in India.