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…
Posts Tagged ‘celiac disease’
Against the Grain
Posted by Sara Fazio • 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…
Celiac Disease
Posted by Jessica Ippolito • 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 Sara Fazio • 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…
Click to subscribe to The House Podcast on iTunes! 
