title: [Onset of celiac disease after acute hepatitis B infection].
abstract: Celiac disease is characterized by small intestinal mucosal injury and nutrient malabsorption in genetically susceptible individuals following dietary ingestion of gluten. The pathogenesis of the disease involves interactions between environmental, genetic, and immunologic factors. Transient infections or increased permeability of the mucosa may facilitate disease onset induced by the uptake of gluten peptides into a microenvironmental milieu in the small intestinal mucosa. We present two patients with onset of celiac disease after resolution of acute hepatitis B virus infection. The physiopathology of celiac disease is discussed and possible explanations for this association are proposed.
authors.affiliation: Servicio de Aparato Digestivo, Complexo Hospitalario de Pontevedra, Pontevedra, España. iagosoto@hotmail.com
authors.forename: Santiago
authors.initials: S
authors.lastname: Soto Iglesias
authors.forename: Sergio
authors.initials: S
authors.lastname: Vázquez Rodríguez
authors.forename: José Luis
authors.initials: JL
authors.lastname: Ulla Rocha
authors.forename: Ruth
authors.initials: R
authors.lastname: Baltar Arias
authors.forename: Wenceslada
authors.initials: W
authors.lastname: Díaz Saá
authors.forename: José
authors.initials: J
authors.lastname: Barrio Antoranz
authors.forename: Víctor
authors.initials: V
authors.lastname: González Carrera
authors.forename: Enrique
authors.initials: E
authors.lastname: Vázquez Astray
mesh_terms: D000208:Acute Disease; D002446:Celiac Disease / Q000175:diagnosis / Q000209:etiology*; D006509:Hepatitis B / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged