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[Anemia--the single symptom in celiac disease in adults]
1Interní oddĕlení NsP FMV Praha.
Vnitrni Lekarstvi
|March 1, 1993
Insights
Coeliac disease can present with only anaemia as a symptom. This case highlights the importance of considering coeliac disease in patients with unexplained anaemia.
Area of Science:
- Gastroenterology
- Internal Medicine
- Clinical Case Reports
Background:
- Coeliac disease is an autoimmune disorder triggered by gluten ingestion.
- It typically presents with gastrointestinal symptoms, but can have varied clinical manifestations.
- Anaemia, particularly iron-deficiency anaemia, is a common complication.
Observation:
- A 21-year-old female presented with anaemia as the sole presenting symptom over several months.
- Further investigations led to the diagnosis of coeliac disease.
- This presentation is considered monosymptomatic.
Findings:
- The case demonstrates that coeliac disease can manifest with anaemia as the only clinical sign.
- Literature review reveals similar reports of monosymptomatic coeliac disease presentations.
- Early diagnosis is crucial for managing coeliac disease and preventing complications.
Implications:
- Highlights the need for increased awareness of monosymptomatic coeliac disease in clinical practice.
- Suggests that anaemia of unknown origin warrants investigation for coeliac disease.
- Emphasizes the importance of considering atypical presentations in diagnosing coeliac disease.
Abstract:
The authors describe the case of a 21-year-old female patient where for several months anaemia was the only symptom of subsequently diagnosed coeliac disease. They draw attention to the possibility of a monosymptomatic course of coeliac disease and discuss similar observations reported in the literature.