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Rakitis og anæmi betinget af cøliaki hos en tre år gammel pige

Forfattere
Allan Bybeck Nielsen Børneafdelingen, Hvidovre Hospital Ugeskr Læger 2018;180:V02180113
Reference: 
Ugeskr Læger 2018;180:V02180113
Sidetal: 
2-3
Rickets and anaemia caused by coeliac disease in a three-year-old girl
We present a case report of a three-year-old girl of Pakistani origin with coeliac disease. The first symptom was spontaneous fracture of the fibula. Vitamin D deficiency rickets and iron deficiency anaemia were demonstrated. An intestinal biopsy and elevated antibody levels confirmed the coeliac disease. Rickets is a known but rare presentation of coeliac disease, but this case report illustrates, how coeliac disease in children often presents with non-gastrointestinal symptoms. The importance of investigations for malabsorp­tion, if iron deficiency is not easily corrected with sufficient iron supplements, is underlined as well as the importance of screening for coeliac disease.

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