title: Remission of Refractory Celiac Disease With Infliximab in a Pediatric Patient.
abstract: Refractory celiac disease (RCD) is a rare but life-threatening complication of celiac disease (CD), and only 1 pediatric case has been reported. We report a case of a 14-year-old girl with CD presenting with persistent symptoms and positive tissue celiac-specific antibodies despite a gluten-free diet. Push enteroscopy showed jejunal scalloping and partial villous atrophy on histology. She was diagnosed with RCD and treated with infliximab with subsequent complete serological and histological remission.
authors.affiliation: Division of Pediatric Gastroenterology, Hepatology and Nutrition, University of Maryland, Baltimore, MD.
authors.forename: Nidhi
authors.initials: N
authors.lastname: Rawal
authors.affiliation: Department of Anatomic Pathology, University of Maryland, Baltimore, MD.
authors.forename: William
authors.initials: W
authors.lastname: Twaddell
authors.affiliation: Division of Pediatric Gastroenterology and Nutrition, MassGeneral Hospital for Children, Boston, MA.
authors.forename: Alessio
authors.initials: A
authors.lastname: Fasano
authors.affiliation: Division of Pediatric Gastroenterology, Hepatology and Nutrition, University of Maryland, Baltimore, MD.
authors.forename: Samra
authors.initials: S
authors.lastname: Blanchard
authors.affiliation: Division of Pediatric Gastroenterology and Nutrition, Wake Forest Baptist Medical Center, Winston-Salem, NC.
authors.forename: Anca
authors.initials: A
authors.lastname: Safta