Resumen de Celiac crisis and hemorrhagic diathesis in an adult
Smile Calixto da Costa Becker, Marcelo Campos Appel da Silva, Rafael Bergesch D'Incao, Luciana Brosina de Leon, Cristiane Valle Tovo
AIMS: Case-report of a patient with a rare presentation of celiac disease. CASE DESCRIPTION: A 49 year-old woman, with a long-standing course of diarrhea and weight loss of 35 kg in a three-year period, presented to the emergency department complaining of an increase in diarrheal depositions, hematemesis, melena, lethargy, anasarca and syncope episodes. After clinical evaluation, upper gastrointestinal endoscopy and laboratorial exams, a rare illness known as celiac crisis was diagnosed. This is a rare presentation of celiac disease, associated with profuse diarrhea and severe metabolic/electrolyte disturbances, more frequent in children under two years, and rarely described in adults. Conclusions: Celiac disease usually manifests itself through chronic diarrhea, abdominal pain and weight loss, but celiac crisis and hemorrhagic diathesis, although rarely, may also occur.
