Naslov
COELIAC DISEASE AS A CAUSE OF DIARRHEA IN RENAL TRANSPLANT RECIPIENT: CASE REPORT AND REVIEW OF THE LITERATURE

Autori
Mavrinac, Vojko ; Mikolašević, Ivana ; Orlić, Lidija ; Milić, Sandra ; Štimac, Davor ; Franjić, Neven ; Mijandrušić-Sinčić, Brankica

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Medicina Academica Mostariensia / - , 2015, S16-S16

Skup
5th Bosnian-Herzegovinian Congress of Gastroenterology and Hepatology with International Participation

Mjesto i datum
Mostar, Bosna i Hercegovina, 11.06.2015. - 14.06.2015

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
transplantation; diarrhea; coeliac disease

Sažetak
INTRODUCTION: Gastrointestinal adverse events are common in renal transplant recipients, with one of the most frequent being diarrhea. Celiac disease (CD) is a frequent chronic autoimmune disease. Patients with CD may present to specialists other than gastroenterologists with the diverse clinical manifestations. CASE REPORT: Here we report case of a 56-year-old patient referred to our center because of diarrhea, who had a kidney transplant since 2007. Since transplantation, he had no acute rejection crisis or infections. But, during the last three years he was hospitalized at our Department for several times due to diarrhea, weight losses and worsening of the kidney function. There were no signs of infections or malignant. In May 2010, a patients was admitted to our department after one more episode of diarrhea and weight loss that had occurred during the past 14 days. During that hospitalizations screening evaluations for infection etiologies of diarrhea was unremarkable. Anti-tTG antibodies were within normal range. He had disturbances of consciousness and hallucinations. A brain CT scan was without any abnormalities. An upper endoscopy with multiple duodenal biopsies was performed. Histological findings were compatible with a coeliac disease. According to the Marshal Classification grade 3A. The patient was advised to follow gluten free diet and was started on an enteral and parenteral nutrition because of malnutrition. The patient responded well. Continued further ambulatory monitoring by a nephrologist and gastroenterologist was advised. CONCLUSION: We would like to stress the necessity of an interdisciplinary approach to patients with CD as well as many other conditions.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA