ISSN : 2146-3123
E-ISSN : 2146-3131

Atypical Celiac Disease and Concomitant Autoimmune Hepatitis
Selim Gökçe 1, Özlem Süoğlu Durmaz 1, Semra Sökücü 1, Coşkun Çeltik 2, Ayşen Doğan 3, Mine Güllüoğlu Güngör 4
1Department of Pediatric Gastroenterology, Hepatology and Nutrition, İstanbul Medical Faculty of İstanbul University, İstanbul
2Medical Faculty of Trakya University, Edirne
3Medical Faculty of Kocaeli University, Kocaeli
4Department of Pathology, İstanbul Medical Faculty of İstanbul University, İstanbul
Pages : 273-276

Abstract

Celiac disease (CD) was diagnosed in a 10-year-old boy who was presented with refractory iron deficiency anemia (IDA), hypertransaminasemia and short stature. Anemia resolved within one month after the institution of gluten-free diet. We performed liver biopsy because of hypergamaglobulinemia and high titers of smooth muscle antibody. On the basis of histologic findings together with clinical and laboratory findings, type 1 autoimmune hepatitis (AIH) was diagnosed. We aimed to report a CD case displaying more than one type of atypical pictures. Concomitant AIH and unusual rapid response of hepatitis to conventional treatment are also emphasized.

Keywords : Celiac disease; gluten-free diet; autoimmune hepatitis; children

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