Dysphagia as a Presentation of Celiac Disease. Issue 4 (7th April 2020)

• Record Type: Journal Article
• Authors: Lee, Ada; Tobin, Michelle; Cherian, Julie; Chawla, Anupama
• Is Part Of: ACG Case Reports Journal. Volume 7:Issue 4(2020)
• Page Start: e00359
• Publication Date: 2020-04-07
• DOI: 10.14309/crj.0000000000000359
• Languages: English
• ISSNs: 2326-3253

Abstract

ABSTRACT: Dysphagia is an uncommon symptom for celiac disease (CD). Typically, patients with CD present with abdominal pain, diarrhea, steatorrhea, weight loss, growth failure, anemia, or fatigue. We report a case of dysphagia in a pediatric patient with negative celiac serologies and positive histologic findings suspicious for CD. Our patient's dysphagia resolved after being placed on a gluten-free diet. Repeat interval endoscopy on a gluten-free diet to assess for resolution of histological changes confirmed the diagnosis of CD. In patients with dysphagia, CD should be considered in the differential diagnosis despite negative celiac serologies.