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Dilated cardiomyopathy associated with celiac disease: A case report
Salma Elnour1, Maram Hashim1, Halah Ibrahim1
1Department of Internal Medicine Sheikh khalifa Medical City Abu Dhabi United Arab Emirates.
Clinical Case Reports
|November 22, 2021
Summary
Celiac disease, an autoimmune disorder triggered by gluten, can rarely lead to dilated cardiomyopathy. Early diagnosis and a gluten-free diet may improve heart function in affected patients.
Area of Science:
- Gastroenterology
- Cardiology
- Immunology
Background:
- Celiac disease is an immune-mediated enteropathy affecting genetically susceptible individuals, triggered by gluten ingestion.
- It affects approximately 1% of the global population and is linked to various extra-intestinal conditions.
- Cardiomyopathy is an uncommon manifestation of celiac disease.
Observation:
- A 33-year-old woman presented with symptoms of dyspnea and fatigue.
- She was diagnosed with severe iron deficiency anemia and dilated cardiomyopathy.
- Celiac disease was identified as the underlying cause of her cardiac condition.
Findings:
- The case highlights a rare association between celiac disease and dilated cardiomyopathy.
- Severe iron deficiency anemia was a significant comorbidity, linked to celiac disease.
- Cardiac function improvement was noted with gluten-free dietary adherence.
Implications:
- Increased clinical suspicion for celiac disease is crucial in patients with unexplained dilated cardiomyopathy.
- Early diagnosis and management of celiac disease may prevent or reverse cardiac dysfunction.
- This case underscores the systemic impact of celiac disease beyond the gastrointestinal tract.
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