RT Book, Section
A1 Moses, Jonathan
A1 Harwood, Tara
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114872350
T1 Celiac Disease
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114872350
RD 2024/04/18
AB A  2-year-old  male  presents  with  weight  loss.  The  mother  states  his  pediatrician  first  noticed  impaired  growth  around  12  months  of  age.  The  mother  also  noticed  his  abdomen  looked  more  distended  over  the  last  few  months  and  he  is  more  irritable  than  usual.  She  describes  a  vague  history  of  looser  stools  without  overt  hematochezia.  Pediatric  gastroenterology  was  consulted  and  sent  blood  work  which  was  remarkable  for  mild  anemia  and  positive  anti-tissue  transglutaminase  immunoglobulin  A  antibodies  (TTG  IgA).  The  patient  underwent  an  upper  endoscopy  with  biopsies,  which  was  visually  remarkable  for  erythematous  duodenal  mucosa  with  scalloping  of  the  intestinal  folds  (Figures  60-1  and  60-2).