Korean J Gastroenterol.  2013 Jun;61(6):338-342. 10.4166/kjg.2013.61.6.338.

A Case of Celiac Disease

Affiliations
  • 1Department of Internal Medicine, The Catholic University College of Medicine, Seoul, Korea. diluck@catholic.ac.kr

Abstract

Celiac disease is a chronic absorptive disorder of the small intestine caused by gluten. The prevalence rate of celiac disease is 1% in Western countries. But, it is rare in Asian countries, and there is no celiac disease reported in Korea. Here, we report a case of celiac disease. An 36-years-old woman complained non-specific abdominal pain and diarrhea. She had anemia and was taking medication for osteoporosis. Colonoscopy showed no abnormality except shallow ulcer at the terminal ileum. Gastroduodenoscopy showed micronodularity at the duodenum 2nd and 3rd portion. Capsule endoscopy and enteroscopy showed villous atrophy and blunting of villi from the duodenum. Small intestinal pathology showed villous atrophy with lymphocyte infiltration. After gluten free diet, diarrhea, abdominal pain, anemia and osteoporosis were improved. And, she felt well-being sensation. This is a first case of celiac disease in Korea.

Keyword

Celiac disease; Gluten free diet

MeSH Terms

Abdominal Pain/etiology
Adult
Anemia/etiology
Capsule Endoscopy
Celiac Disease/complications/*diagnosis/diet therapy/pathology
Diarrhea/etiology
Diet, Gluten-Free
Duodenum/pathology
Endoscopy, Gastrointestinal
Female
Humans
Ileum/pathology
Intestinal Mucosa/pathology
Osteoporosis/etiology
Tomography, X-Ray Computed
Treatment Outcome
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