A clinical case of celiac disease and ulcerative colitis in a child

A.A. Kamalova, G.A. Garina, G.M. Yakubova, A.G. Kuznetsova, R.A. Nizamova, N.R. Mingacheva

1) Kazan State Medical University, Kazan, Russia; 2) Children’s Republican Clinical Hospital, Kazan, Russia; 3) Children’s Republican Clinical Hospital, Ufa, Russia

Inflammatory bowel disease (IBD) and celiac disease are autoimmune diseases. For the manifestation of these diseases, an external trigger activating the pathological reaction of the immune system is necessary. Such clinical manifestations as diarrhea or constipation, delayed physical development and recurrent abdominal pain syndrome can occur both in IBD and celiac disease. Patients with celiac disease, especially those who do not show positive dynamics on a gluten-free diet, are examined for the possible presence of IBD, since these two conditions can coexist. At the same time, if pathogenetic therapy for IBD is insufficiently effective (dyspeptic disorders and protein-energy malnutrition persist), celiac disease must also be excluded. This article describes a clinical case of celiac disease in an adolescent with a previously verified diagnosis of ulcerative colitis.

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About the Authors

Aelita A. Kamalova, Dr. Sci. (Med.), Professor of the Department of Hospital Pediatrics, Kazan State Medical University, Kazan, Russia;
aelitakamalova@gmail.com
Galina A. Garina, Postgraduate Student, Department of Hospital Pediatrics, Kazan State Medical University, Kazan, Russia; galinagalina.gala@yandex.ru, ORCID: https://orcid.org/0000-0002-4333-8779, eLibrary-SPIN: 9227-1828 (corresponding author)
Gulnara M. Yakubova, Head of the Gastroenterology Department, Republican Children’s Clinical Hospital, Ufa, Russia; gulnara66doc@gmail.com
Anastasia Germanovna Kuznetsova, Pathologist, Republican Children’s Clinical Hospital, Kazan, Russia; stsi2008@rambler.ru
Railya A. Nizamova, Head of the Diagnostic Department, Pediatrician, Gastroenterologist, Republican Children’s Clinical Hospital, Kazan, Russia; nizamova.railya@gmail.com
Nailya R. Mingacheva, Resident Physician, Department of Hospital Pediatrics, Kazan State Medical University, Kazan, Russia; Nelya-min@yandex.ru

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