title: Celiac Crisis Associated with Herpes Simplex Virus Esophagitis.
abstract: Celiac crisis is a rare presentation of celiac disease that is characterized by life-threatening electrolyte abnormalities, vitamin and mineral deficiencies, and diarrhea. Triggers for celiac crisis include major surgeries, pancreatitis, and infections of cytomegalovirus, and salmonella. A 24-year-old woman presented with celiac crisis associated with severe herpes simplex virus (HSV) esophagitis. This case demonstrates that nutritional deficiencies seen in celiac disease can result in a relative immunodeficiency, which may lead to other infectious complications. Additionally, early recognition of celiac crisis is imperative as the metabolic derangements may be life-threatening, and therapy with gluten restriction and nutritional repletion is effective.
authors.affiliation: Department of Internal Medicine, The Ohio State University, Columbus, OH.
authors.forename: Alan
authors.initials: A
authors.lastname: Chen
authors.affiliation: Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University, Columbus, OH.
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Linz
authors.affiliation: Department of Medicine and Pediatrics, The Ohio State University and Nationwide Children's Hospital, Columbus, OH.
authors.forename: Julie L
authors.initials: JL
authors.lastname: Tsay
authors.affiliation: Department of Pathology, The Ohio State University, Columbus, OH.
authors.forename: Ming
authors.initials: M
authors.lastname: Jin
authors.affiliation: Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University, Columbus, OH.
authors.forename: Samer S
authors.initials: SS
authors.lastname: El-Dika