Polymyositis, arthritis, and proteinuria in a patient with adult celiac disease.
A 37-year-old woman developed polymyositis and arthritis concomitantly with proteinuria and watery diarrhea. Repeated duodenal biopsies and serological evaluation established the diagnosis of adult celiac disease. Treatment with gluten-free diet resolved all clinical and laboratory abnormalities. We believe that this is the first report of adult celiac disease presenting as a multisystem disease involving kidneys, joint, and muscles.
Evron
E
E
Department of Internal Medicine, Kaplan Hospital, Rehovot, Israel.
Abarbanel
J M
JM
Branski
D
D
Sthoeger
Z M
ZM
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001168:Arthritis / Q000150:complications* / Q000473:pathology / Q000628:therapy; D001706:Biopsy; D002446:Celiac Disease / Q000150:complications* / Q000473:pathology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D005753:Gastric Mucosa / Q000473:pathology; D006801:Humans; D017285:Polymyositis / Q000150:complications* / Q000473:pathology / Q000628:therapy; D011241:Prednisone / Q000627:therapeutic use; D011507:Proteinuria / Q000150:complications* / Q000473:pathology / Q000628:therapy
D000893:Anti-Inflammatory Agents; D011241:Prednisone