Hypoalbuminemia and generalized edema as an atypical presentation of celiac disease

The clinical presentation of celiac disease has evolved significantly over the last few decades. Previously defined as a malabsorption syndrome in pediatric patients, now it is considered an autoimmune disorder with diverse systemic manifestations among all age groups. We report a case of 56-year-ol...

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Main Authors: Durga S Meena, Deepak Kumar, Gopal K Bohra, Sahadev Choudhary
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=2;spage=1206;epage=1208;aulast=
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author Durga S Meena
Deepak Kumar
Gopal K Bohra
Sahadev Choudhary
author_facet Durga S Meena
Deepak Kumar
Gopal K Bohra
Sahadev Choudhary
author_sort Durga S Meena
collection DOAJ
description The clinical presentation of celiac disease has evolved significantly over the last few decades. Previously defined as a malabsorption syndrome in pediatric patients, now it is considered an autoimmune disorder with diverse systemic manifestations among all age groups. We report a case of 56-year-old male presented with pedal edema and gradually progressive abdomen distention for the last 3 months. Serological evaluation and duodenal biopsy reports were suggestive of celiac disease. The patient was advised gluten-free diet, after 12 weeks, the patient became asymptomatic with the resolution of ascites and peripheral edema. According to the literature, there are few reports of protein-losing enteropathy as an initial presentation of celiac disease. The possibility of celiac disease should be considered even in the setting of atypical symptoms.
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spelling doaj.art-57e4fd693ac94c2c9d756427f46d44242022-12-21T23:17:04ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-01921206120810.4103/jfmpc.jfmpc_1116_19Hypoalbuminemia and generalized edema as an atypical presentation of celiac diseaseDurga S MeenaDeepak KumarGopal K BohraSahadev ChoudharyThe clinical presentation of celiac disease has evolved significantly over the last few decades. Previously defined as a malabsorption syndrome in pediatric patients, now it is considered an autoimmune disorder with diverse systemic manifestations among all age groups. We report a case of 56-year-old male presented with pedal edema and gradually progressive abdomen distention for the last 3 months. Serological evaluation and duodenal biopsy reports were suggestive of celiac disease. The patient was advised gluten-free diet, after 12 weeks, the patient became asymptomatic with the resolution of ascites and peripheral edema. According to the literature, there are few reports of protein-losing enteropathy as an initial presentation of celiac disease. The possibility of celiac disease should be considered even in the setting of atypical symptoms.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=2;spage=1206;epage=1208;aulast=celiac diseasehypoalbuminemiaedemaprotein-losing enteropathy
spellingShingle Durga S Meena
Deepak Kumar
Gopal K Bohra
Sahadev Choudhary
Hypoalbuminemia and generalized edema as an atypical presentation of celiac disease
Journal of Family Medicine and Primary Care
celiac disease
hypoalbuminemia
edema
protein-losing enteropathy
title Hypoalbuminemia and generalized edema as an atypical presentation of celiac disease
title_full Hypoalbuminemia and generalized edema as an atypical presentation of celiac disease
title_fullStr Hypoalbuminemia and generalized edema as an atypical presentation of celiac disease
title_full_unstemmed Hypoalbuminemia and generalized edema as an atypical presentation of celiac disease
title_short Hypoalbuminemia and generalized edema as an atypical presentation of celiac disease
title_sort hypoalbuminemia and generalized edema as an atypical presentation of celiac disease
topic celiac disease
hypoalbuminemia
edema
protein-losing enteropathy
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=2;spage=1206;epage=1208;aulast=
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AT gopalkbohra hypoalbuminemiaandgeneralizededemaasanatypicalpresentationofceliacdisease
AT sahadevchoudhary hypoalbuminemiaandgeneralizededemaasanatypicalpresentationofceliacdisease