Severe rickets in a young girl caused by celiac disease: the tragedy of delayed diagnosis: a case report

BMC Research Notes

Derhim H Al-Faqeeh¹  Amani M Shamshair¹  Shafiq A Al-Imad¹  Butheinah A Al-Sharafi² 

[1] Department of medicine, University of Science and Technology hospital, Sana’a, Yemen;Department of Medicine, Sana’a University Medical School, Sana’a, Yemen

关键词: Anemia;    Failure to thrive;    Rickets;    Celiac disease;   

Others  :  1127334
DOI  :  10.1186/1756-0500-7-701

 received in 2014-09-19, accepted in 2014-10-02,  发布年份 2014

【 摘 要 】

Background

Celiac disease is a systemic immune mediated disease which usually presents with gastrointestinal symptoms, but it may present with extra gastrointestinal manifestations such as metabolic bone disease and failure to thrive. This may lead to a delay in the diagnosis.

Case presentation

We present a 13 year old female from the middle east with an 8 year history of severe rickets causing multiple bone deformities leaving the child crippled with bowing of both of her arms and legs. The patient was also found to have growth failure, anemia and on further workup she was found to have celiac disease.

Conclusion

We are presenting this case because it shows a severe case of rickets after malabsorption for many years. Celiac disease should be kept in mind as a cause of rickets in patients not responding to usual forms of treatment or when associated with other manifestations of malabsorption.

【 授权许可】

   
2014 Al-Sharafi et al.; licensee BioMed Central Ltd.

【 图 表 】

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