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Celiac disease and giardiasis: a case report
Department of Infectious Diseases, Örebro University Hospital, Örebro, Sweden.
Laboratory Medicine, Örebro University Hospital, Örebro, Sweden.
Department of Pathology, Örebro University Hospital, Örebro, Sweden.
Örebro University Hospital. Division of Gastroenterology.
2012 (English)In: European Journal of Gastroenterology and Hepathology, ISSN 0954-691X, E-ISSN 1473-5687, Vol. 24, no 8, p. 984-987Article in journal (Refereed) Published
Abstract [en]

When investigating a patient with suspected celiac disease (CD), several other conditions must be considered, including potential infection with Giardia lamblia. Although giardiasis is rare, its histopathological and serological picture may resemble that of CD. We report the case of a young man with diabetes mellitus and a family history of CD referred to our hospital because of diarrhoea and weight loss. Investigation showed, among other factors, partial villous atrophy in duodenal biopsies and elevated immunoglobulin A antitissue transglutaminase antibodies. The patient was diagnosed with CD and recommended a gluten-free diet. At the same time, faecal tests were conducted, indicating the presence of G. lamblia. The patient was treated and improved, even after discontinuing the gluten-free diet. Subsequent follow-up after 6 months showed total regression of mucosal histopathology and a normal antitissue transglutaminase antibodies level. Eur J Gastroenterol Hepatol 24:984-987 (c) 2012 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2012. Vol. 24, no 8, p. 984-987
Keywords [en]
case reports, celiac disease, giardiasis
National Category
Gastroenterology and Hepatology
Identifiers
URN: urn:nbn:se:oru:diva-58664DOI: 10.1097/MEG.0b013e328354f3f5ISI: 000306289300018PubMedID: 22617359Scopus ID: 2-s2.0-84864069790OAI: oai:DiVA.org:oru-58664DiVA, id: diva2:1121549
Available from: 2017-07-11 Created: 2017-07-11 Last updated: 2025-02-11Bibliographically approved

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