A celiac case mimicking mitochondrial neurogastrointestinal encephalomyopathy (MNGIE)

Aksoy E, Tıraş-Teber S, Deda G. A celiac case mimicking mitochondrial neurogastrointestinal encephalomyopathy (MNGIE). Turk J Pediatr 2017; 59: 662-665.Celiac disease (CD) is a chronic disease involving a number of systems in addition to gastrointestinal tract. Although not clear, it has been supposed that the neurological symptoms of CD develop due to immune-mediated mechanisms. In this paper, we present a rare case diagnosed with CD at 12 years of age, and presented with a clinical picture resembling mitochondrial neurogastrointestinal encephalomyopathy (MNGIE). She had onset of her neurological symptoms at the age of 6 years, they progressed despite various therapies, and she became wheelchair-bound

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Tovoli F, Masi C, Guidetti E, Negrini G, Paterini P, Bolondi L. Clinical and diagnostic aspects of gluten related disorders. World J Clin Cases 2015; 3: 275-284.

Husby S, Koletzko S, Korponay-Szabo IR, et al. European Society for Pediatric Gastroenterology, Hepatology, and Nutrition Guidelines for the Diagnosis of Coeliac Disease. JPGN 2012; 54: 136-160.

Grossman G. Neurological complications of coeliac disease: what is the evidence? Review. Pract Neurol 2008; 8: 77–89.

Bürk K, Farecki ML, Lamprecht G, et al. Neurological Symptoms in Patients with Biopsy Proven Celiac Disease. Mov Disord 2009; 24: 2358-2362.

Hadjivassiliou M, Sanders DS, Grünewald RA, Woodroofe N, Boscolo S, Aeschlimann D. Gluten sensitivity: from gut to brain. Lancet Neurol 2010; 9: 318-330.

Teitelbaum JM, Berde CB, Nurko S, Buonomo C, Perez- Atayde AR, Fox VL. Diagnosis and management of MNGIE syndrome in children: case report and review of the literature. J Pediatr Gastroenterol Nutr 2002; 35: 377-383.

Garone C, Tadesse S, Hirano M. Clinical and genetic spectrum of mitochondrial neurogastrointestinal encephalomyopathy. Brain 2011;11: 3326-3332.

Briani C, Zara G, Toffanin E, et al. Neurological complications of celiac disease and autoimmune mechanisms: preliminary data of a prospective study in adult patients. Ann NY Acad Sci 2005; 1051: 148–155.

Hadjivassiliou M, Boscolo S, Davies-Jones GA, et al. The humoral response in the pathogenesis of gluten ataxia. Neurology 2002; 58: 1221–1226.

Cervio E, Volta U, Verri M, et al. Sera from patients with celiac disease and neurologic disorders evoke a mitochondrial-dependent apoptosis in vitro. Gastroenterol 2007; 133: 195-206.

Cooke WT, Smith WT. Neurological disorders associated with adult celiac disease. Brain 1966; 89: 683-722.

Luostarinen L, Pirttilä T, Collin P. Coeliac disease presenting with neurological disorders. Eur Neurol 1999; 42: 132–135.

Kieslich M, Errázuriz G, Posselt HG, et al. Brain white- matter lesions in celiac disease: a prospective study of 75 diet-treated patients. Pediatrics 2001; 108: E21.

Beyenburg S, Scheid B, Deckert-Schlüter M, Lagrèze HL. Chronic progressive leukoencephalopathy in adult celiac disease. Neurology 1998; 50: 820-822.

Yıldırım SV, Tiker F, Barutcu O, Cengiz N. Bilateral calcifications in the basal ganglia, and frontal and parietal lobes of a patient with coeliac disease. Pediatr Radiol 2005; 35: 710-712.

Parisi P, Principessa L, Ferretti A, et al. “EEG abnormalities” may represent a confounding factor in celiac disease: A 4-year follow-up family report. Epilepsy Behav Case Rep 2014; 2: 40-42.

Gobbi G, Bouquet F, Greco L, et al. Coeliac disease, epilepsy, and cerebral calcifications. Lancet 1992; 340: 439-443.

Leggio L, Cadoni G, D’Angelo C, et al. Coeliac disease and hearing loss: Preliminary data on a new possible association. Scand J Gastroenterol 2007; 42: 1209-1213.
Turkish Journal of Pediatrics-Cover
  • ISSN: 0041-4301
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 1958
  • Yayıncı: Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü Müdürlüğü
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