title: [Hemorrhagic diathesis as initial clinical manifestation of celiac disease].
abstract: Coeliac disease is the most frequent malabsortive syndrome in daily practice. However, its true prevalence is not exactly known. The symptoms vary from patient to patient, ranging from the classic presentation with diarrhea, weight loss and fatigue to oligosymptomatic forms, being the latter more common in adults. We report two patients in which urinary and skin spontaneous hemorrhage were the only symptoms, and led to the diagnosis. We insist on the importance of considering the diagnosis of coeliac disease in patients with this kind of clinical manifestations. The early diagnosis will allow us to reduce both the morbidity and mortality in coeliac patients.
authors.affiliation: Servicio de Aparato Digestivo. Hospital Miguel Servet, Zaragoza.
authors.forename: T
authors.initials: T
authors.lastname: Cabrera Chaves
authors.forename: F
authors.initials: F
authors.lastname: Gomollón García
authors.forename: M A
authors.initials: MA
authors.lastname: Simón Marco
authors.forename: R
authors.initials: R
authors.lastname: Uribarrena Echevarría
authors.forename: R
authors.initials: R
authors.lastname: Alvarez Alegret
mesh_terms: D000328:Adult; D002446:Celiac Disease / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006474:Hemorrhagic Disorders / Q000209:etiology*; D006801:Humans; D008297:Male
vernacular_title: Diátesis hemorrágica como manifestación clínica inicial de la enfermedad celíaca.