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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 540 - 542 (3page)
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초록· 키워드
오류제보하기
Celiac disease (CD) is an immune-mediated enteropathy and is a rare disease in Asia, including in Korea. However, the ingestion of wheat products, which can act as a precipitating factor of CD, has increased rapidly. CD is a common cause of malabsorption, but many patients can present with various atypical manifestations as first presented symptoms, including anemia, osteopenia, infertility, and neurological symptoms. Thus, making a diagnosis is challenging. We report a case of CD that mimicked amyotrophic lateral sclerosis (ALS). The patient was a sexagenary man with a history of progressive motor weakness for 2 years. He was highly suspected as having ALS. During evaluation of his neurological symptoms, esophagogastroduodenoscopy (EGD) was performed because he had experienced loose stools and weight loss for the previous 7 months. On EGD, the duodenal mucosa appeared smooth. A biopsy revealed severe lymphoplasma cell infiltration with flattened villi. His serum endomysial antibody (immunoglobulin A) titer was 1:160 (reference, <1:40). Finally, he was diagnosed as having CD, and a gluten-free diet was immediately begun. At a 4-month follow-up, his weight and the quality of his stool had improved gradually, and the neurological manifestations had not progressed.
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등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Fasano A / 2003 / Prevalence of celiac disease in at-risk and not-at-risk groups in the United States: a large multicenter study / Arch Intern Me 163:286~292
권태근 / 2013 / Celiac Disease 1예 / 대한소화기학회지 61(6):338~342
Fasano A / 2001 / Current approaches to diagnosis and treatment of celiac disease: an evolving spectrum / Gastroenterology 120:636~651
Kasper DL / 2015 / Harrison’s principles of internal medicine. 2 Volumes / McGraw Hill Education
Lionetti E / 2015 / Celiac disease from a global perspective / Best Pract Res Clin Gastroenterol 29:365~379
권태근 / 2013 / Celiac Disease 1예 / 대한소화기학회지 61(6):338~342
Fasano A / 2001 / Current approaches to diagnosis and treatment of celiac disease: an evolving spectrum / Gastroenterology 120:636~651
Kasper DL / 2015 / Harrison’s principles of internal medicine. 2 Volumes / McGraw Hill Education
Lionetti E / 2015 / Celiac disease from a global perspective / Best Pract Res Clin Gastroenterol 29:365~379
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