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Recurrent heart failure in a child with underlying dilated cardiomyopathy associated with celiac disease: An unusual

Shuchi Mehra1, Ashish Gupta2, Kapil Bhalla3

  • 1Department of Microbiology, Pt BD Sharma PGIMS, Rohtak, Haryana, India.

Journal of Family Medicine and Primary Care
|December 12, 2022
PubMed

Insights

Celiac disease can rarely cause dilated cardiomyopathy (DCMP) in children, leading to severe heart failure. Early screening and a gluten-free diet are crucial for managing this rare association.

Area of Science:

  • Pediatric Cardiology
  • Gastroenterology
  • Autoimmune Diseases

Background:

  • Celiac disease is linked to increased cardiovascular risks, including cardiomyopathy.
  • Dilated cardiomyopathy (DCMP) associated with celiac disease is rare, especially in pediatric cases.

Observation:

  • A 10-year-old male presented with life-threatening congestive cardiac failure, severe anemia, dyspnea, hepatomegaly, pedal edema, and elevated JVP.
  • Diagnostic workup confirmed dilated cardiomyopathy (DCMP) in the context of undiagnosed celiac disease.

Findings:

  • The patient was diagnosed with celiac disease-associated dilated cardiomyopathy (DCMP).
  • Treatment included a strict gluten-free diet, hematinics, and ivabradine for DCMP management.

Implications:

  • Early screening for celiac disease in children with unexplained cardiac symptoms is vital.
  • Prompt diagnosis and management can prevent severe complications and disease progression in pediatric DCMP cases.

Keywords:
Associationceliacchilddilated cardiomyopathydiseasegluten freeheart failure

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