AI Article Synopsis

  • Celiac crisis is a serious condition characterized by severe diarrhea and metabolic issues.
  • Refractory Celiac Disease (RCD) occurs when symptoms persist despite following a gluten-free diet for at least six months.
  • An adolescent presented with neurological symptoms and celiac crisis was diagnosed with type 1 RCD and treated with high-dose steroids, highlighting the importance of considering RCD in similar cases.

Article Abstract

Celiac crisis is a life-threatening condition in which patients have profuse diarrhea and severe metabolic disturbances. Refractory Celiac Disease (RCD) is a rare condition defined as persistence of symptoms despite being on Gluten Free Diet (GFD) for 6 months. Neurological involvement in Celiac Disease (CD) is seen in around 8 - 10% of adult patients; however, it is rare in children. Herein we present a case of an adolescent presenting with neurological symptoms and celiac crisis and diagnosed as RCD, type 1. He was treated with high dose steroids. This case underscores the need to consider RCD in patients presenting in celiac crisis and showing no improvement on GFD.

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http://dx.doi.org/10.2015/JCPSP.S134S136DOI Listing

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