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[Gluten enteropathy]

A Macić-Dzanković1, J Sudí

  • 1Interno odjeljenje, Drzavna bolnica Sarajevo.

Medicinski Arhiv
|January 1, 1997
PubMed
Summary
This summary is machine-generated.

A woman with severe weight loss and diarrhea was diagnosed with gluten-enteropathy. A gluten-free diet led to significant recovery, highlighting the importance of dietary management for this condition.

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Area of Science:

  • Internal Medicine
  • Gastroenterology

Background:

  • Gluten-enteropathy (celiac disease) is an autoimmune disorder triggered by gluten consumption.
  • Diagnosis can be challenging, especially in resource-limited settings.

Observation:

  • A 32-year-old woman presented with profound prostration, over 20 kg weight loss, and frequent diarrhea.
  • Symptoms emerged during wartime in Sarajevo, where staple foods like bread, macaroni, and pies are rich in gluten.

Findings:

  • Small intestine biopsy confirmed gluten-enteropathy.
  • A gluten-free diet resulted in rapid and substantial weight gain (over 20 kg) and resolution of gastrointestinal symptoms within two months.

Implications:

  • This case underscores the critical role of dietary modification in managing gluten-enteropathy.
  • Early diagnosis and adherence to a gluten-free diet can dramatically improve patient outcomes and quality of life.