Posts Tagged ‘celiac disease’

A Woman with Psychosis

Posted by • May 13th, 2016

The combination of malabsorption and autoimmunity strongly suggests the possibility of celiac disease, which is not always associated with gastrointestinal symptoms. Although neurologic and psychiatric symptoms of celiac disease are not widely recognized, they have been reported. Examination of a 37-year-old woman with adult-onset psychosis revealed weight loss, a thyroid nodule, anemia, and micronutrient deficiencies. Diagnostic tests… Read More…

Against the Grain

Posted by • October 3rd, 2014

In the latest Clinical Problem-Solving article, a 42-year-old man with a history of coronary artery disease presented to the emergency department with left-upper-quadrant abdominal pain that radiated to his back and along the subcostal margin. He also reported substernal chest pressure similar to his usual angina. Elevated lipase and amylase levels can be indicative of pancreatic… Read More…

12-Year-Old Girl with Irritability and Insomnia

Posted by • May 24th, 2013

In the latest Case Record of the Massachusetts General Hospital, a 12-year-old girl with a history of celiac disease, anxiety, and depression was seen in the outpatient psychiatry clinic of this hospital because of irritability, hypersomnia, and multiple somatic symptoms. Psychotherapy and the administration of antidepressants were begun. Pediatric patients with somatization are likely to have… Read More…

Celiac Disease

Posted by • December 21st, 2012

The diagnosis of celiac disease involves serologic testing (generally for IgA anti–tissue transglutaminase antibodies first) followed by upper endoscopy with biopsy for confirmation in most patients. Patients with celiac disease should follow a lifelong, strict gluten-free diet.  The latest article in our Clinical Practice series, Celiac Disease, comes from Drs. Alessio Fasano and Carlo Catassi… Read More…

Abdominal Pain and Weight Loss

Posted by • July 27th, 2012

In this week’s Case Record of the Massachusetts General Hospital, a 59-year-old man was admitted to the hospital because of 9 months of abdominal pain, vomiting, and weight loss. He was born in a Caribbean country and had been treated for intestinal strongyloidiasis years earlier. A diagnosis of celiac disease had recently been made. S. stercoralis… Read More…