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Patwari AK, Anand VK, Kapur G, et al. Clinical and nutritional profile of children with celiac disease. Indian Pediatr. 2003; 40(4): 337-42.

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Article

Celiac Disease as Chylous Ascites in a Child

1Department of Pediatrics, Government Medical College Srinagar, Kashmir, India


International Journal of Celiac Disease. 2019, Vol. 7 No. 1, 29-30
DOI: 10.12691/ijcd-7-1-5
Copyright © 2019 Science and Education Publishing

Cite this paper:
Ishaq Malik, Jan Muzzafar, A Omar. Celiac Disease as Chylous Ascites in a Child. International Journal of Celiac Disease. 2019; 7(1):29-30. doi: 10.12691/ijcd-7-1-5.

Correspondence to: Ishaq  Malik, Department of Pediatrics, Government Medical College Srinagar, Kashmir, India. Email: sfsyedfarheen@gmail.com

Abstract

10 year old with no significant history either in the past or family presented with tense ascites, hypochromic microcytic anemia, thrombocytosis and milky fluid with TAG level of 350 mg/dl with a SAAG of >1.1. LFT, chest xray and ascitic fluid ADA were normal. USG abdomen showed fine echoes from peritoneal cavity and normal liver and portal /hepatic veins. endoscopy was done to look for lymphangiectasia but gross morphology of duodenum was suggestive of celiac disease. Normal IgA, high anti TTG, biopsy marsh IIIB and clinical response to gluten free diet confirmed the diagnosis of celiac disease.

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