Doença celíaca no adulto: a propósito de um caso clínico

A. Sousa Machado¹, A. Vasconcelos Teixeira¹, H. Cardoso¹, D. Cruz², M. E. Paiva², F. Tavarela-Veloso¹

 

Resumo

Os autores apresentam o caso clínico de um doente do sexo masculino, caucasiano, com 20 anos de idade, sem antecedentes patológicos ou familiares de relevo, com história de diarreia crónica, dores articulares e emagrecimento. A avaliação laboratorial revelou alterações sugestivas de má absorção. Foi diagnosticada doença celíaca com base em achados serológicos, endoscópicos e histológicos. A instituição de dieta sem glúten acompanhou-se de recuperação do estado geral e correcção das alterações analíticas.

 

Summary

The authors present the case of a 20 year old male Caucasian with no relevant personal or family history of disease, who presented with a history of diarrhoea, joint pain and weight loss. Laboratory findings pointed to malabsorption. Celiac disease was diagnosed based on endoscopic, histological and serological findings. He gradually recovered both clinically and in terms of laboratory values, after being started on a gluten-free diet.

 

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(1) Serviço de Gastrenterologia do Hospital de São João, Porto, Portugal.

(2) Serviço de Anatomia Patológica do Hospital de São João, Porto, Portugal.

 

Recebido para publicação: 22/03/2005

Aceite para publicação: 22/02/2006