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Celiac disease and anorexia nervosa: a case report
Emilie L Deschner1, Janice L Barkey2, Megan E Harrison2,3
1Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
International Journal of Pediatrics & Adolescent Medicine
|February 27, 2019
Summary
Diagnosing celiac disease in patients with anorexia nervosa is challenging due to overlapping symptoms. Persistent gastrointestinal issues in patients with eating disorders warrant re-evaluation for celiac disease.
Area of Science:
- Gastroenterology
- Pediatrics
- Psychiatry
Background:
- Celiac disease diagnosis in patients with eating disorders is complex.
- Abdominal complaints are common in both anorexia nervosa and celiac disease.
- Diagnosis requires a duodenal biopsy while consuming gluten.
Observation:
- A 12-year-old female presented with anorexia nervosa.
- She experienced persistent abdominal complaints for two years.
- Multiple duodenal biopsies were performed before celiac disease diagnosis.
Findings:
- The case illustrates the diagnostic challenges of celiac disease in patients with restricted nutritional intake.
- Initial diagnosis of celiac disease was missed.
- Refeeding and subsequent re-testing were crucial for diagnosis.
Implications:
- Highlights the importance of considering celiac disease in patients with anorexia nervosa.
- Emphasizes the need for repeated gastrointestinal evaluations in persistent cases.
- Suggests a potential link between eating disorders and autoimmune gastrointestinal conditions.
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