Diagnostic delay in clinical practice: A case report of Coeliac disease

Once considered a gastrointestinal disease of childhood affecting mainly whites, Coeliac Disease is now recognized as a systemic disease that may affect persons of any age and many races and ethnic groups. In this paper we present a case of a 60-year-old woman presented with protein-losing enteropat...

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Main Authors: Ahmedul Kabir, Sudip Ranjan Deb, Ruma Akhter, Mamunur Rashid Bhuyian, Pratyay Hasan
Format: Article
Language:English
Published: Bangabandhu Sheikh Mujib Medical University 2016-08-01
Series:Bangabandhu Sheikh Mujib Medical University Journal
Subjects:
Online Access:https://www.banglajol.info/index.php/BSMMUJ/article/view/29152
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author Ahmedul Kabir
Sudip Ranjan Deb
Ruma Akhter
Mamunur Rashid Bhuyian
Pratyay Hasan
author_facet Ahmedul Kabir
Sudip Ranjan Deb
Ruma Akhter
Mamunur Rashid Bhuyian
Pratyay Hasan
author_sort Ahmedul Kabir
collection DOAJ
description Once considered a gastrointestinal disease of childhood affecting mainly whites, Coeliac Disease is now recognized as a systemic disease that may affect persons of any age and many races and ethnic groups. In this paper we present a case of a 60-year-old woman presented with protein-losing enteropathy associated with partial villous atrophy on distal duodenal biopsy. In Coeliac enteropathy the changes in intestinal permeability is sufficient to cause excessive loss of protein into the gut leading to hypoproteinaemia. The patient had presented with peripheral oedema without liver or renal impairment. The case emphasizes that clinicians should have a heightened suspicion about the disease that may be present at any age in both sexes and in a wide variety of clinical circumstances.
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spelling doaj.art-15796bd33cdd4414a35c4f6dd6d649922022-12-21T20:11:44ZengBangabandhu Sheikh Mujib Medical UniversityBangabandhu Sheikh Mujib Medical University Journal2074-29082224-77502016-08-017110.3329/bsmmuj.v7i1.2915218747Diagnostic delay in clinical practice: A case report of Coeliac diseaseAhmedul Kabir0Sudip Ranjan Deb1Ruma Akhter2Mamunur Rashid Bhuyian3Pratyay Hasan4Department of Medicine, Dhaka Medical College, DhakaDepartment of Medicine, Dhaka Medical College, DhakaDepartment of Medicine, Dhaka Medical College, DhakaDepartment of Medicine, Dhaka Medical College, DhakaDepartment of Medicine, Dhaka Medical College, DhakaOnce considered a gastrointestinal disease of childhood affecting mainly whites, Coeliac Disease is now recognized as a systemic disease that may affect persons of any age and many races and ethnic groups. In this paper we present a case of a 60-year-old woman presented with protein-losing enteropathy associated with partial villous atrophy on distal duodenal biopsy. In Coeliac enteropathy the changes in intestinal permeability is sufficient to cause excessive loss of protein into the gut leading to hypoproteinaemia. The patient had presented with peripheral oedema without liver or renal impairment. The case emphasizes that clinicians should have a heightened suspicion about the disease that may be present at any age in both sexes and in a wide variety of clinical circumstances.https://www.banglajol.info/index.php/BSMMUJ/article/view/29152Coeliac DiseaseVilious atrophyDiagnostic delay
spellingShingle Ahmedul Kabir
Sudip Ranjan Deb
Ruma Akhter
Mamunur Rashid Bhuyian
Pratyay Hasan
Diagnostic delay in clinical practice: A case report of Coeliac disease
Bangabandhu Sheikh Mujib Medical University Journal
Coeliac Disease
Vilious atrophy
Diagnostic delay
title Diagnostic delay in clinical practice: A case report of Coeliac disease
title_full Diagnostic delay in clinical practice: A case report of Coeliac disease
title_fullStr Diagnostic delay in clinical practice: A case report of Coeliac disease
title_full_unstemmed Diagnostic delay in clinical practice: A case report of Coeliac disease
title_short Diagnostic delay in clinical practice: A case report of Coeliac disease
title_sort diagnostic delay in clinical practice a case report of coeliac disease
topic Coeliac Disease
Vilious atrophy
Diagnostic delay
url https://www.banglajol.info/index.php/BSMMUJ/article/view/29152
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AT mamunurrashidbhuyian diagnosticdelayinclinicalpracticeacasereportofcoeliacdisease
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