Seronegative celiac disease: a case report

Authors

  • Amita Surana Department of Pediatrics, SMIMER Hospital, Umarwada, Surat, Gujarat, India
  • Vaishali Chaudhari Department of Pediatrics, SMIMER Hospital, Umarwada, Surat, Gujarat, India
  • Shefali Patel Department of Pediatrics, SMIMER Hospital, Umarwada, Surat, Gujarat, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20170188

Keywords:

Celiac disease, Delayed puberty, Intestinal biopsy, Serology

Abstract

In this article we report a case of 17 years old male with short stature, severe anaemia and delayed puberty. After extensive workup and in-spite of being seronegative for celiac antibodies, he was diagnosed as an atypical case of celiac disease based on duodenal biopsy report suggestive of CD. The patient is put on gluten free diet along with other nutritional supplements. Long term consequences like short stature, infertility can be prevented by higher clinical suspicion and early diagnosis. Intestinal biopsy should be performed if there is strong clinical suspicion. The relevant literature has been reviewed and discussed in brief.

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References

Garg K, Gupta RK. What a Practitioner Need to know About Celiac Disease? Indian J Pediatr. 2015;82(2):145-51.

Fasano A. Clinical presentation of celiac disease in the pediatric population. Gastroenterology 2005;128:S68-73.

Admou B, Essaadouni L, Krati K, Zaher K, Sbihi M, Chabaa L, et al Atypical Celiac Disease: From Recognizing to Managing Gastroenterology Research and Practice, Volume 2012, Article ID 637187.

MakhariaGK, Verma AK, Amarchand R, Bhatnagar S, Das P, Goswami A, et al. Prevalence of CD in the northern part of India: a community based study. J Gastroenterol Hepatol. 2011;26:894-900.

Rajpoot P, Makhiria GK. Problems and challenges to adaptation of gluten free diet by Indian patients with Celiac disease. Nutr. 2013;5:4869-79.

Telega G, Bennet TR, Werlin S. Emerging new clinical patterns in the presentation of CD. Arch PediatrAdolesc Med. 2008;162:164-8.

Husby S, Koletzko S, Korponay-Szabo IR. Mearin ML, Phillips A, Shamir R, et al; ESPGHAN Working Group on Celiac disease Diagnosis; ESPGHAN Gastroenterology Committee; ESPGHAN guidelines for the diagnosis of Celiac disease. J Pediatr Gastroenterol Nutr. 2012;54:136-60.

Dickey W, McMillan SA, Hughes DF. Sensitivity of serum tissue transglutaminase antibodies for endomysial antibody positive and negative celiac disease. Scand J Gastroenterol. 2001;36:511-4.

Collin P, Kaukinen K, Vogelsang H, Korponay-Szabo I, Sommer R, Schreier E, et al. Antiendomysial and antihuman recombinant tissue transglutaminase antibodies in the diagnosis of coeliac disease: a biopsy-proven European multicentre study. Eur J Gastroenterol Hepatol. 2005, 17:85-91.

Mahreen A, Asma F, Syed Ali H, Rabia H, Salman M, Akhtar Ali B; Seronegative Celiac disease with Dermatitis Herpetiformes: a case report. Cases Journal. 2009;2:7512.

Salmi TT, Collin P Korponay-Szabo, Partanen J, Huhtala H, Király R, et al. Endomysial antibody negative celiac disease: clinical characteristics and intestinal autoantibody deposits. Gut. 2006;55(12):1746-53.

Carroccio A, Di Prima L, Pirrone G, Scalici C, Florena AM, Gasparin M, et al. Anti-transglutaminase antibody assay of the culture medium of intestinal biopsy specimens can improve the accuracy of CD diagnosis. Clin Chem. 2006;52:1-6.

Abrams JA, Diamond B, Rotterdam H, Green PH. Seronegative celiac disease: increased prevalence with lesser degrees of villous atrophy. Dig Dis Sci. 2004;49:546-50.

Tursi A, Brandimarte G, Giorgetti GM. Prevalence of antitissue transglutaminase antibodies in different degrees of intestinal damage in celiac disease. J Clin Gastroenterol. 2003;36(3):219-21.

Silva TSG, Furlanetto TW. Diagnosis of celiac disease in adults,” Revista da Associacao Medica Brasileira. 2010;56(1):122-6.

Kagnoff MF. AGA institute medical position statement on the diagnosis and management of celiac disease,” Gastroenterology. 2006;131(6):1977-80.

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Published

2017-01-23

How to Cite

Surana, A., Chaudhari, V., & Patel, S. (2017). Seronegative celiac disease: a case report. International Journal of Research in Medical Sciences, 5(2), 737–739. https://doi.org/10.18203/2320-6012.ijrms20170188

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Section

Case Reports