title: Nonresponsive celiac disease due to Strongyloides stercoralis infestation.
abstract: Celiac disease (CD) is treated by eliminating all gluten from the diet. A 49-year-old man with CD was admitted to our clinic with complaints of recurrent diarrhea and abdominal pain despite strict adherence to a gluten-free diet. The duodenum was seen to be edematous on gastroduodenoscopic examination. Histological examination of the biopsy specimen taken from the duodenum showed multiple round shaped Strongyloides stercoralis (S. stercoralis) larvae within the crypts. He was successfully treated with albendazole. This case emphasizes the importance of duodenal biopsy in CD. To our knowledge, this is the first case in the literature showing CD and S. stercoralis together.
authors.affiliation: Department of Gastroenterology, Kocaeli University Medical Faculty, Turkey.
authors.forename: Ugur
authors.initials: U
authors.lastname: Korkmaz
authors.forename: Ali Erkan
authors.initials: AE
authors.lastname: Duman
authors.forename: Berra
authors.initials: B
authors.lastname: Gurkan
authors.forename: Goktug
authors.initials: G
authors.lastname: Sirin
authors.forename: Yildiray
authors.initials: Y
authors.lastname: Topcu
authors.forename: Gokhan
authors.initials: G
authors.lastname: Dindar
authors.forename: Yesim
authors.initials: Y
authors.lastname: Gurbuz
authors.forename: Omer
authors.initials: O
authors.lastname: Senturk
mesh_terms: D015766:Albendazole / Q000627:therapeutic use; D000818:Animals; D002446:Celiac Disease / Q000175:diagnosis* / Q000178:diet therapy / Q000188:drug therapy; D003937:Diagnosis, Differential; D055050:Diet, Gluten-Free; D006801:Humans; D008297:Male; D008875:Middle Aged; D017171:Strongyloides stercoralis / Q000302:isolation & purification; D013322:Strongyloidiasis / Q000175:diagnosis* / Q000178:diet therapy / Q000188:drug therapy
chemical_list: D015766:Albendazole