Journal Article

Quadriplegia due to Celiac Crisis with Hypokalemia as Initial Presentation of Celiac Disease: A Case Report

Malobika Bhattacharya and Seema Kapoor

in Journal of Tropical Pediatrics

Volume 58, issue 1, pages 74-76
Published in print February 2012 | ISSN: 0142-6338
Published online April 2011 | e-ISSN: 1465-3664 | DOI: http://dx.doi.org/10.1093/tropej/fmr034
Quadriplegia due to Celiac Crisis with Hypokalemia as Initial Presentation of Celiac Disease: A Case Report

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Celiac crisis is a rare, life-threatening complication of celiac disease characterized by worsening of clinical symptoms, multiple metabolic derangements and shock. We report an 8-year-old girl with previously undiagnosed celiac disease who presented with flaccid quadriparesis secondary to severe hypokalemia associated with celiac crisis. Diagnosis was expedited by an elevated anti-tissue transglutaminase antibody titer. The patient improved with correction of hypokalemia, corticosteroids and gluten-free diet. In tropical countries such as India, where both acute flaccid paresis and diarrhea are usually of infective etiologies, this rare clinical condition should also be considered in the differential diagnosis of both.

Keywords: Celiac disease; celiac crisis; quadriparesis; hypokalemia

Journal Article.  1155 words.  Illustrated.

Subjects: Paediatrics

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