International Journal of Celiac Disease
ISSN (Print): 2334-3427 ISSN (Online): 2334-3486 Website: http://www.sciepub.com/journal/ijcd Editor-in-chief: Samasca Gabriel
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International Journal of Celiac Disease. 2015, 3(3), 108-109
DOI: 10.12691/ijcd-3-3-5
Open AccessArticle

Dysphagia as the Sole Initial Presentation of Celiac Disease

Andrew C. Berry1, , Rahman Nakshabendi2, Ozdemir Kanar2, Hussein Abidali3, Ahmad Nakshabandi4, Aaron C. Baltz5 and James T. Kwiatt5

1Department of Medicine, University of South Alabama, Mobile, AL, USA

2Department of Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USA

3Department of Medicine, Banner Good Samaritan Medical Center, Phoenix, AZ, USA

4Tampa General Hospital, Tampa, FL, USA

5GI Associates, Wauwatosa, WI, USA

Pub. Date: July 28, 2015

Cite this paper:
Andrew C. Berry, Rahman Nakshabendi, Ozdemir Kanar, Hussein Abidali, Ahmad Nakshabandi, Aaron C. Baltz and James T. Kwiatt. Dysphagia as the Sole Initial Presentation of Celiac Disease. International Journal of Celiac Disease. 2015; 3(3):108-109. doi: 10.12691/ijcd-3-3-5

Abstract

Several studies have described celiac disease patients presenting with esophageal symptoms. We present the case of a 33-year-old Caucasian woman who presented with three months of strictly dysphagia to solids. She reported no weight loss, abdominal pain, or diarrhea and reported no heartburn symptoms. Labs revealed a tissue transglutaminase IgA of >100 units. Biopsies revealed moderate to severe villous blunting and increased intraepithelial lymphocytosis consistent with Marsh 3 celiac disease in the 2nd and 3rd portions of the duodenum. To the best of our knowledge, this case represents the first reported case of dysphagia as initial and sole presentation of celiac disease completely resolved by gluten-free diet.

Keywords:
dysphagia celiac disease esophagogastroduodenoscopy endoscopy

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