Axonal and demyelinating polyneuropathy associated with celiac disease.
BACKGROUND
The involvement of the peripheral nervous system in children with celiac disease is rare.


METHODS
A 15- year- old girl affected by celiac disease, who presented with an acute polyneuropathy after accidental reintroduction of gluten in her diet.


METHODS
Neurological examination suggested asymmetric weakness of both legs distally. Anti-tissue transglutaminase antibodies were positive. Nerve conduction studies were consistent with a sensory-motor demyelinating peripheral neuropathy.


RESULTS
Symptoms improved spontaneously on a gluten-free diet.


CONCLUSIONS
Polyneuropathy may occur as a complication of celiac disease in childhood.
Department of Gastroenterology and Hepatology, Mother and Child Health Care Institute, Faculty of Medicine, University of Belgrade, Serbia. Correspondence to: Dr Aleksandra Boskovic, Department of Gastroenterology and Hepatology, Mother and Child Health Care Institute, Serbia, 11070 Belgrade, Radoja Dakica 6-8 , Serbia. aleksandra.bos@hotmail.com.
Aleksandra
A
Boskovic
Ivica
I
Stankovic
D000293:Adolescent; D002446:Celiac Disease / Q000150:complications*; D003711:Demyelinating Diseases; D055050:Diet, Gluten-Free; D005260:Female; D006801:Humans; D010243:Paralysis; D011115:Polyneuropathies