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Atypical Presentation of Celiac Disease: A Case Report

Sunil Kumar, Amit Sharma


Celiac disease is a chronic inflammatory immune-mediated condition associated with small intestinal injury triggered by gluten present in wheat, barley and rye, leading to malabsorption of different nutrients. Usually it presents as young age at the time of introduction of cereals with symptoms of malabsorption like diarrhea, abdominal distension and failure to thrive. But celiac disease has a broad range of general, gastrointestinal and systemic presentation. We hereby present a case of celiac disease presenting as a case of refractory vomiting, responding dramatically to gluten free diet.

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Fasano A. Clinical presentation of celiac disease in the pediatric population. Gastroenterology. 2005 Apr; 128 (4 Suppl 1): S68-73.

Catassi C, Fabiani E, Rätsch IM, et al. The celiac iceberg in Italy. A multi-centre antigliadin antibodies screening for coeliac disease in school-age subjects. Acta Paediatr Suppl. 1996 May;412:29-35.

Hill I, Fasano A, Schwartz R, et al. The prevalence of celiac disease in at-risk groups of children in the United States. J Pediatr. 2000 Jan;136(1):86-90.

Hoffenberg EJ, Mac Kenzie T, Barriga KJ, et al. A prospective study of the incidence of childhood celiac disease. J Pediatr. 2003 Sep;143(3):308-14.

Fasano A, Berti I, Gerarduzzi T, et al. Prevalence of celiac disease in at-risk and not-at-risk groups in the United States: a large multicenter study. Arch Intern Med. 2003 Feb 10;163(3):286-92.

Mäki M, Mustalahti K, Kokkonen J, et al. Prevalence of Celiac disease among children in Finland. N Engl J Med. 2003 Jun 19;348(25):2517-24.

Catassi C, Fasano A. New developments in childhood celiac disease.Curr Gastroenterol Rep 2002; 4:238–243. DOI:

Fasano A, Catassi C. Current approaches to diagnosis and treatment of celiac disease: an evolving spectrum. Gastroenterology. 2001 Feb;120(3):636-51.


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