title: [Oligosymptomatic celiac disease--axis correction of extreme genu valgum with a gliadin-free diet].
abstract: We report on a girl who suffered from a severe left-sided Genu valgum. As there was a remarkable deterioration despite a conservative orthopedic therapy on osteotomy was planned. However, preoperative investigations revealed a malabsorption syndrome with osteomalacia due to coeliac disease. This gliadin-sensitive enteropathy had already been diagnosed and treated in infancy but had been ignored, since no abdominal symptoms had occurred after re-introduction of normal food. Four years after start of gliadin-free diet the false position of the left leg had disappeared and an operative correction had not to be performed.
mesh_terms: D000293:Adolescent; D001851:Bone Diseases, Metabolic / Q000178:diet therapy*; D002446:Celiac Disease / Q000178:diet therapy*; D005260:Female; D005500:Follow-Up Studies; D005903:Gliadin / Q000008:administration & dosage*; D006801:Humans; D007719:Knee Joint; D010940:Plant Proteins / Q000008:administration & dosage*
chemical_list: D010940:Plant Proteins; D005903:Gliadin
vernacular_title: Oligosymptomatische Zöliakie--Achsenkorrektur eines extremen X-Beines unter gliadinfreier Kost.