Pulmonary haemosiderosis in a 13-year-old girl with coeliac disease after 3 months on a gluten-free diet: case report and review of the literature.
A 13-year-old girl with controlled coeliac disease who had been on a gluten-free diet for the past 3 months was admitted with respiratory distress and hypoxia for the past week. Chest radiograph and CT scan showed bilateral widespread alveolar shadowing suggestive of a hypersensitive pneumonitis. There was a dramatic radiological and clinical response to oral corticosteroids. Bronchial lavage was suggestive of recurrent aspiration and histology of a transbronchial biopsy showed pulmonary haemosiderosis. We conclude that pulmonary haemosiderosis may occur in children with coeliac disease who are on a gluten-free diet.
Najada
A S
AS
Division of Pediatric Pulmonology, Queen Rania Al Abdullah Hospital for Children, Amman, Jordan. a_najada@hotmail.com
Dahabreh
M M
MM
D000284:Administration, Oral; D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D002446:Celiac Disease / Q000150:complications* / Q000188:drug therapy / Q000628:therapy*; D055050:Diet, Gluten-Free; D005260:Female; D006486:Hemosiderosis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D000860:Hypoxia / Q000175:diagnosis; D008168:Lung / Q000473:pathology; D008171:Lung Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D011014:Pneumonia / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D013902:Radiography, Thoracic; D012128:Respiratory Distress Syndrome / Q000175:diagnosis / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones; D000893:Anti-Inflammatory Agents