Fatih Esad TOPAL, Nazmiye DİNÇER, Firdevs TOPAL

Reactivation of coeliac disease after third pregnancy

Çölyak hastalığı, genetik olarak yatkın kişilerde, gluten proteinine maruz kalındığında görülebilenyaygın otoimmün bir hastalıktır. Olgumuz 2 yaşında Çölyak hastalığı tanısı almış, 15 yaşına kadarglutensiz diyet uygulamış, 27 yaşında bayan hastadır. Olgumuz 12 yıl boyunca glutensiz diyetyapmadan, semptomsuz ve problemsiz iki gebelik geçirmiştir. Üçüncü gebeliği takiben doğumdan1 ay sonra Çölyak hastalığı nüksetmiştir. Çölyak hastalığı, doğumdan sonraki dönemde, diyare,yorgunluk ve karın ağrısı olan hastalarda mutlaka göz önünde bulundurulmalıdır.

Üçüncü gebelik sonrası tekrar aktif leşen çölyak hastalığı

Coeliac disease is a common autoimmune disorder that can be seen in genetically susceptiblepeople with exposure to gluten proteins. This report describes a case of a 27-year-old woman whowas diagnosed as coeliac disease at 2 years old and was on a gluten-free diet until 15 years old.She remained symptom-free without gluten-free diet for 12 years during which she experiencedtwo problem-free pregnancies. One month after she gave birth to her child after third pregnancy,coeliac disease recurred. Coeliac disease must be taken into consideration, in the period after birthin patients with diarrhea, fatigue and abdominal pain.

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