Lege Artis Medicinae

[CELIAC DISEASE AND SPLENOPULPOMA IN THE BACKGROUND OF ANE]

MEKKEL Gabriella, BARTA Zsolt, KOVÁCS Judit, TÓTH László, BURIS László, RESS Zsuzsa, GERGELY Lajos, ZEHER Margit

MARCH 20, 2005

Lege Artis Medicinae - 2005;15(03)

[INTRODUCTION - Celiac disease causes inflammation with villus destruction in the duodenal and jejunal regions. The consequent secondary malabsorption affects many physiological processes adversely causing iron/folate deficiency type anaemia most frequently. This type of anaemia can disappear with the regeneration of the mucosa by gluten-free diet without any substitution. CASE REPORT - Authors report a case of a patient suffering from iron deficiency anaemia caused by celiac disease. The anaemia did not cease by dietary restrictions and iron supplementation and repeated examinations verified a rare benign tumor of the spleen which can cause anaemia as well. CONCLUSION - In connection with this case, the authors summarise the common knowledge of celiac disease and splenopulpoma calling the attention to the benefits of screening celiac disease and the necessity of splenectomy in similar cases.]

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