Celiac disease and pulmonary hemosiderosis in a patient with chronic granulomatous disease.
We report on a patient with the hitherto undescribed combination of chronic granulomatous disease, pulmonary hemosiderosis, and celiac disease. The hemosiderosis resolved with a gluten-free diet and glucocorticosteroid pulse therapy, but the restrictive lung function pattern remained unchanged. Lung function improved markedly by immunosuppression with daily glucocorticosteroid and azathioprine treatment.
Hartl
Dominik
D
Dr. von Haunersches Kinderspital, Ludwig-Maximilians-University München, München, Germany. dominic.hartl@med.uni-muenchen.de
Belohradsky
Bernd H
BH
Griese
Matthias
M
Nicolai
Thomas
T
Krauss-Etschmann
Susanne
S
Roos
Dirk
D
Wintergerst
Uwe
U
D000157:Aconitine / Q000031:analogs & derivatives* / Q000627:therapeutic use; D000276:Adjuvants, Immunologic / Q000627:therapeutic use; D002446:Celiac Disease / Q000473:pathology / Q000628:therapy*; D003371:Cough / Q000209:etiology; D004032:Diet; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006105:Granulomatous Disease, Chronic / Q000473:pathology / Q000628:therapy*; D006486:Hemosiderosis / Q000473:pathology / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology; D008171:Lung Diseases / Q000150:complications / Q000473:pathology / Q000628:therapy*; D013601:T-Lymphocytes / Q000378:metabolism; D014057:Tomography, X-Ray Computed; D014109:Total Lung Capacity; D016896:Treatment Outcome
D000276:Adjuvants, Immunologic; D005938:Glucocorticoids; C061353:szechenyine; D000157:Aconitine