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Rubio-Tapia A, Hill ID, Kelly CP, Calderwood AH, Murray JA. American College of Gastroenterology ACG clinical guidelines: diagnosis and management of celiac disease. Am J Gastroenterol 2013; 108: 656-676.

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Article

Dysphagia as the Sole Initial Presentation of Celiac Disease

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


International Journal of Celiac Disease. 2015, Vol. 3 No. 3, 108-109
DOI: 10.12691/ijcd-3-3-5
Copyright © 2015 Science and Education Publishing

Cite this paper:
Andrew C. Berry, Rahman Nakshabendi, Ozdemir Kanar, Hussein Abidali, Ahmad Nakshabandi, Aaron C. Baltz, 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.

Correspondence to: Andrew  C. Berry, Department of Medicine, University of South Alabama, Mobile, AL, USA. Email: Aberry5555@gmail.com

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.

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