title: Nasal septal perforation in a patient with subclinical celiac disease: a possible new association.
abstract: A female patient presented with nasal septal perforation that did not respond to conventional therapeutic management. Later, because of a malabsorption problem in one of her children, she underwent analytic tests and distal duodenal biopsy, which revealed that she was suffering from subclinical/silent celiac disease. The treatment, a gluten-free diet, unexpectedly resulted in the cessation of the destructive nasal process. Four years later, the patient remains asymptomatic. Nasal septal perforation might constitute a new entity associated with celiac disease hitherto not described in the literature.
authors.affiliation: Servicio de Otorrinolaringología, Hospital General Universitario, Murcia, Spain. Alfcapi@teleline.es
authors.forename: A
authors.initials: A
authors.lastname: Medina-Banegas
authors.forename: F A
authors.initials: FA
authors.lastname: Pastor-Quirante
authors.forename: J
authors.initials: J
authors.lastname: Osete-Albaladejo
authors.forename: E
authors.initials: E
authors.lastname: López-Meseguer
authors.forename: F
authors.initials: F
authors.lastname: López-Andreu
mesh_terms: D000328:Adult; D001706:Biopsy; D002446:Celiac Disease / Q000150:complications*; D004386:Duodenum / Q000473:pathology; D004844:Epistaxis / Q000150:complications; D005260:Female; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D009297:Nasal Mucosa / Q000473:pathology; D009300:Nasal Septum / Q000000981:diagnostic imaging / Q000473:pathology*; D009668:Nose Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed