[A 52-year-old patient with positive troponin, iron deficiency anemia and known sarcoidosis].
We report on a 52-year-old female patient with recurrent neurosarcoidosis and an "atypical" course of celiac disease, with mild clinic features, positive IgA-antibodies and histology. In our patient, the IgA-antibodies led to a false positive troponin I test, and we initially suspected an acute coronary syndrome. With dietary treatment of the celiac disease, the antibodies decreased and the troponin I test became negative. The coincidental occurrence of sarcoidosis and "potential" celiac disease (positive antibodies only) has been reported. The coincidence of an "atypical" celiac disease and sarcoidosis is rare.
Mühling
O
O
Medizinische Klinik und Poliklinik I, Ludwig-Maximilians-Universität München, München. olaf.muehling@med.uni-muenchen.de
El-Nounou
M
M
Schäfer
C
C
Mühlbayer
D
D
Tympner
C
C
Behr
J
J
D000410:Alanine Transaminase / Q000097:blood; D018798:Anemia, Iron-Deficiency / Q000097:blood / Q000175:diagnosis* / Q000473:pathology; D001219:Aspartate Aminotransferases / Q000097:blood; D001706:Biopsy; D002446:Celiac Disease / Q000097:blood / Q000175:diagnosis* / Q000473:pathology; D052279:Creatine Kinase, MB Form / Q000097:blood; D003937:Diagnosis, Differential; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D005189:False Positive Reactions; D005260:Female; D006801:Humans; D007070:Immunoglobulin A / Q000097:blood; D007413:Intestinal Mucosa / Q000473:pathology; D008159:Lumbar Vertebrae / Q000473:pathology; D008875:Middle Aged; D009203:Myocardial Infarction / Q000097:blood / Q000175:diagnosis / Q000473:pathology; D010024:Osteoporosis / Q000175:diagnosis / Q000473:pathology; D011517:Prothrombin Time; D012507:Sarcoidosis / Q000097:blood / Q000175:diagnosis* / Q000473:pathology; D019210:Troponin I / Q000097:blood*
D007070:Immunoglobulin A; D019210:Troponin I; D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase; D052279:Creatine Kinase, MB Form