International Journal of Celiac Disease. 2017, 5(2), 81-82
DOI: 10.12691/ijcd-5-2-3
Open AccessCase Report
Mohammed Elhassan1, and Guha Venkatraman2
1Department of Medicine, University of California in San Francisco (UCSF)/Fresno, Fresno, CA, USA
2Department of Medicine, St. Barnabas Medical Center, Livingston, NJ, USA
Pub. Date: June 02, 2017
Cite this paper:
Mohammed Elhassan and Guha Venkatraman. Celiac Disease Hiding Behind Cerebral White Matter Lesions: A Case Report. International Journal of Celiac Disease. 2017; 5(2):81-82. doi: 10.12691/ijcd-5-2-3
Abstract
Celiac disease, or celiac enteropathy, is a relatively common autoimmune disease with myriad of presentations, including intestinal and extra-intestinal manifestations. It is also a less common cause of cerebral white matter lesions in the absence of other etiologies. If such patients are symptomatic, diagnosis can be challenging, especially when gastrointestinal symptoms are absent. The differential diagnosis in such cases is wide and high index of suspicion is needed to make the diagnosis. We presented a case of celiac disease who presented with neurological symptoms and white matter lesions in brain magnetic resonance imaging without gastrointestinal symptoms.Keywords:
celiac disease leukoencephalopathies
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References:
| [1] | Dube C, Rostom A, Sy R, et al. The prevalence of celiac disease in average-risk and at-risk Western European populations: A systematic review. Gastroenterology. 2005; 128:S57-67. |
| |
| [2] | Freeman HJ. Clinical spectrum of biopsy-defined celiac disease in the elderly. Can J Gastroenterology. 1995; 9:42-6. |
| |
| [3] | Luostarinen L, Pirttila T, Collin P. Celiac disease presenting with neurological disorders. Eur Neurol. 1999; 42:132-5. |
| |
| [4] | Hadjivassiliou M, Grunewald RA, Lawden N, el al. headache and CNS white matter abnormalities associated with gluten sensitivity. Neurology 2001; 56:385-8. |
| |
| [5] | Hadjivassiliou M, Currie S, et al. Should we be nervous about celiac disease? Brain abnormalities in patients with celiac disease referred for neurological opinion. Journal of Neurology, Neurosurgery, and Psychiatry 2002 Dec; 83(12): 1216-21. |
| |