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 |
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container_title | Internal Medicine |
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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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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.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.51.6910</identifier><identifier>PMID: 22504243</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>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</subject><ispartof>Internal Medicine, 2012, Vol.51(8), pp.881-883</ispartof><rights>2012 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c581t-6ad6c8a59c7da4c34e79d68d4e1c79fa575f6a1ffdca62c68a2383734868c88d3</citedby><cites>FETCH-LOGICAL-c581t-6ad6c8a59c7da4c34e79d68d4e1c79fa575f6a1ffdca62c68a2383734868c88d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,1877,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22504243$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Korkmaz, Ugur</creatorcontrib><creatorcontrib>Duman, Ali Erkan</creatorcontrib><creatorcontrib>Gurkan, Berra</creatorcontrib><creatorcontrib>Sirin, Goktug</creatorcontrib><creatorcontrib>Topcu, Yildiray</creatorcontrib><creatorcontrib>Dindar, Gokhan</creatorcontrib><creatorcontrib>Gurbuz, Yesim</creatorcontrib><creatorcontrib>Senturk, Omer</creatorcontrib><title>Nonresponsive Celiac Disease due to Strongyloides stercoralis Infestation</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><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.</description><subject>Albendazole - therapeutic use</subject><subject>Animals</subject><subject>celiac disease</subject><subject>Celiac Disease - diagnosis</subject><subject>Celiac Disease - diet therapy</subject><subject>Celiac Disease - drug therapy</subject><subject>Diagnosis, Differential</subject><subject>Diet, Gluten-Free</subject><subject>gluten</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Strongyloides stercoralis</subject><subject>Strongyloides stercoralis - isolation & purification</subject><subject>Strongyloidiasis - diagnosis</subject><subject>Strongyloidiasis - diet therapy</subject><subject>Strongyloidiasis - drug therapy</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkE1v2zAMhoWhw5Jm-wuDj7041YclS8chbbcAQXvYdjY4ic4UOFIm2QXy76cgbQ5FL-SBD_mCDyEVo0vOlLn1YcQUYNij89YHXEq2VIbRD2TORGPqlgt5RebUMF3zUmbkOucdpUK3hn8iM84lbXgj5mT9GEPCfIgh-2esVjh4sNWdzwgZKzdhNcbq55hi2B6H6B3mKpdsGxMMPlfr0GMeYfQxfCYfexgyfnnpC_L74f7X6ke9efq-Xn3b1FZqNtYKnLIapLGtg8aKBlvjlHYNMtuaHmQrewWs750Fxa3SwIUWrWi00lZrJxbk5nz3kOK_qaR3e58tDgMEjFPuGKXMSKqKgwXRZ9SmmHPCvjskv4d0LFB3Etm9FdlJ1p1EltWvLynTnzK8LL6aK8DmDOzK_1u8AJBGbwd897I-F63ZBbN_IXUYxH8SnpJQ</recordid><startdate>20120101</startdate><enddate>20120101</enddate><creator>Korkmaz, Ugur</creator><creator>Duman, Ali Erkan</creator><creator>Gurkan, Berra</creator><creator>Sirin, Goktug</creator><creator>Topcu, Yildiray</creator><creator>Dindar, Gokhan</creator><creator>Gurbuz, Yesim</creator><creator>Senturk, Omer</creator><general>The Japanese Society of Internal Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120101</creationdate><title>Nonresponsive Celiac Disease due to Strongyloides stercoralis Infestation</title><author>Korkmaz, Ugur ; Duman, Ali Erkan ; Gurkan, Berra ; Sirin, Goktug ; Topcu, Yildiray ; Dindar, Gokhan ; Gurbuz, Yesim ; Senturk, Omer</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c581t-6ad6c8a59c7da4c34e79d68d4e1c79fa575f6a1ffdca62c68a2383734868c88d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Albendazole - therapeutic use</topic><topic>Animals</topic><topic>celiac disease</topic><topic>Celiac Disease - diagnosis</topic><topic>Celiac Disease - diet therapy</topic><topic>Celiac Disease - drug therapy</topic><topic>Diagnosis, Differential</topic><topic>Diet, Gluten-Free</topic><topic>gluten</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Strongyloides stercoralis</topic><topic>Strongyloides stercoralis - isolation & purification</topic><topic>Strongyloidiasis - diagnosis</topic><topic>Strongyloidiasis - diet therapy</topic><topic>Strongyloidiasis - drug therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Korkmaz, Ugur</creatorcontrib><creatorcontrib>Duman, Ali Erkan</creatorcontrib><creatorcontrib>Gurkan, Berra</creatorcontrib><creatorcontrib>Sirin, Goktug</creatorcontrib><creatorcontrib>Topcu, Yildiray</creatorcontrib><creatorcontrib>Dindar, Gokhan</creatorcontrib><creatorcontrib>Gurbuz, Yesim</creatorcontrib><creatorcontrib>Senturk, Omer</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Korkmaz, Ugur</au><au>Duman, Ali Erkan</au><au>Gurkan, Berra</au><au>Sirin, Goktug</au><au>Topcu, Yildiray</au><au>Dindar, Gokhan</au><au>Gurbuz, Yesim</au><au>Senturk, Omer</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nonresponsive Celiac Disease due to Strongyloides stercoralis Infestation</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2012-01-01</date><risdate>2012</risdate><volume>51</volume><issue>8</issue><spage>881</spage><epage>883</epage><pages>881-883</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>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. 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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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