title: Celiac crisis in an adult type 1 diabetes mellitus patient: a rare manifestation of celiac disease.
abstract: Celiac crisis, an acute severe onset of celiac disease, is a rare and life-threatening manifestation. We report a 30-year-old woman with type 1 diabetes mellitus who arrived at our service with one-month history of severe acute watery diarrhea associated with nausea, vomiting, abdominal pain, and weight loss of 9 kg. The diagnostic hypothesis of celiac crisis was reached based on profuse diarrhea leading to dehydration, severe metabolic and electrolyte abnormalities, and subsequent improvement after introduction of a gluten-free diet.
authors.forename: Marcos Tadashi Kakitani
authors.initials: MT
authors.lastname: Toyoshima
authors.forename: Márcia Silva
authors.initials: MS
authors.lastname: Queiroz
authors.forename: Maria Elizabeth Rossi
authors.initials: ME
authors.lastname: Silva
authors.forename: Maria Lúcia C
authors.initials: ML
authors.lastname: Corrêa-Giannella
authors.forename: Márcia
authors.initials: M
authors.lastname: Nery
mesh_terms: D000328:Adult; D002446:Celiac Disease / Q000150:complications* / Q000178:diet therapy; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D003967:Diarrhea / Q000209:etiology; D055050:Diet, Gluten-Free; D005260:Female; D006801:Humans