Nonresponsive Celiac Disease due to Strongyloides stercoralis Infestation

Celiac disease (CD) is treated by eliminating all gluten from the diet. A 49-year-old man with CD was admitted to our clinic with complaints of recurrent diarrhea and abdominal pain despite strict adherence to a gluten-free diet. The duodenum was seen to be edematous on gastroduodenoscopic examinati...

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Veröffentlicht in:Internal Medicine 2012, Vol.51(8), pp.881-883
Hauptverfasser: Korkmaz, Ugur, Duman, Ali Erkan, Gurkan, Berra, Sirin, Goktug, Topcu, Yildiray, Dindar, Gokhan, Gurbuz, Yesim, Senturk, Omer
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container_end_page 883
container_issue 8
container_start_page 881
container_title Internal Medicine
container_volume 51
creator Korkmaz, Ugur
Duman, Ali Erkan
Gurkan, Berra
Sirin, Goktug
Topcu, Yildiray
Dindar, Gokhan
Gurbuz, Yesim
Senturk, Omer
description Celiac disease (CD) is treated by eliminating all gluten from the diet. A 49-year-old man with CD was admitted to our clinic with complaints of recurrent diarrhea and abdominal pain despite strict adherence to a gluten-free diet. The duodenum was seen to be edematous on gastroduodenoscopic examination. Histological examination of the biopsy specimen taken from the duodenum showed multiple round shaped Strongyloides stercoralis (S. stercoralis) larvae within the crypts. He was successfully treated with albendazole. This case emphasizes the importance of duodenal biopsy in CD. To our knowledge, this is the first case in the literature showing CD and S. stercoralis together.
doi_str_mv 10.2169/internalmedicine.51.6910
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subjects Albendazole - therapeutic use
Animals
celiac disease
Celiac Disease - diagnosis
Celiac Disease - diet therapy
Celiac Disease - drug therapy
Diagnosis, Differential
Diet, Gluten-Free
gluten
Humans
Male
Middle Aged
Strongyloides stercoralis
Strongyloides stercoralis - isolation & purification
Strongyloidiasis - diagnosis
Strongyloidiasis - diet therapy
Strongyloidiasis - drug therapy
title Nonresponsive Celiac Disease due to Strongyloides stercoralis Infestation
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