Tetany caused by chronic diarrhea in a child with celiac disease: A case report.
There is no awareness about celiac disease (CD) in Mexico. A 2.9 year old mestizo boy was admitted to a Mexican hospital with muscle cramps and fine tremors. He suffered chronic diarrhea, abdominal distention, hypotrophic limbs, stunting and wasting, and presented hypocalcemia, anemia and high titers of serological markers. Diagnosis of CD was confirmed by a duodenal biopsy. After replacement of calcium and a gluten-free diet, the symptoms resolved within 6 weeks. After 2-months, serum analyses, anthropometric data as well as antibodies titers were normal after 4 years. CD screening tests are needed in chronic diarrhea for any ethnicity patients.
Hurtado-Valenzuela
Jaime Gabriel
JG
Departamento de Medicina Interna, Hospital Infantil del Estado de Sonora, Av, Reforma No, 355 Norte, Colonia Ley 57, Hermosillo 83000, Sonora, México. jaimeghv@hotmail.com.
Sotelo-Cruz
Norberto
N
López-Cervantes
Guillermo
G
de la Barca
Ana María Calderón
AM