Lymphocytic colitis in a child with non-responsive celiac disease
Journal | Volume 71 - 2008 |
Issue | Fasc.4 - Case reports |
Author(s) | Y. Ozturk, O. Bekem Soylu, E. Ozer |
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(1) Department of Pediatrics ; (2) Department of Pathology, Dokuz Eylul University Faculty of Medicine, Inciralti-35340, Izmir, Turkey. |
In celiac disease, symptoms usually improve with strict adher- ence to diet. Some patients however do not show improvement despite of diet therapy. We here report a girl with non-responsive celiac disease whose diarrhea did not improve despite of a gluten free diet. A 12-year-old girl with recurrent diarrhea and failure to thrive was diagnosed with celiac disease. After six months of gluten-free diet her symptoms persisted. Adherence to diet was considered as correct and complete by a dietitian evaluation and by anti-endomysial antibodies that had become negative. Treatment with pancreatic enzymes, metronidazole or lactose free diet did not improve her symptoms. Colonoscopy was performed and lympho- cytic colitis was diagnosed on histology from colonic biopsies. After mesalamine therapy diarrhea ceased, and weight and height z scores increased. Lymphocytic colitis, which is uncommonly seen in children compared to adults, should be considered in non- responsive celiac disease in children. (Acta gastroenterol. belg., 2008, 71, 393-395). |
© Acta Gastro-Enterologica Belgica. PMID 19317281 |