Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Ipoglicemia chetotica e malattia celiaca: quale relazione?
Descrizione di un caso clinico

Ketotic hypoglycaemia and celiac disease: what relationship? A case report

Martina Mainetti, Vanna Graziani, Mariarosaria Cozzolino, Federico Marchetti

UOC di Pediatria e Neonatologia, Ospedale di Ravenna, AUSL della Romagna


Febbraio 2017 - pagg. 123 -124

Abstract
Ketotic hypoglycaemia is the most common cause of hy-poglycaemia in preschoolers. The literature does not describe cases that have demonstrated the association between celiac disease and idiopathic ketotic hypoglycaemia. The article reports the case of a 6-year-old girl who presented with feeding problems for several months and frequent episodes of symptomatic hypoglycaemia, not due to metabolic causes (adrenal insufficiency, GH deficien-cy, and glycogen storage disease). The diagnosis of celiac disease was formalized with the biopsy in the presence of a low positivity for transglutaminase. With the onset of gluten-free diet the child has solved the lack of appetite and has not showed more episodes of symptomatic hypo-glycaemia.
Parole chiave
Celiac disease Ipoglicemia chetotica Ketotic hypoglycaemia Malattia celiaca
Suggerite dall'AI
Transglutaminasi
Classificazione MeSH
Digestive System Diseases Gastrointestinal Diseases Intestinal Diseases Malabsorption Syndromes Celiac Disease (221)
Physiological Phenomena Diet, Food, and Nutrition Nutritional Physiological Phenomena Diet Diet, Gluten-Free (44)
Nutritional and Metabolic Diseases Metabolic Diseases Glucose Metabolism Disorders Hypoglycemia (35)
Nutritional and Metabolic Diseases Metabolic Diseases Acid-Base Imbalance Acidosis Ketosis (5)
Enzymes and Coenzymes Enzymes Transferases Acyltransferases Aminoacyltransferases Transglutaminases (94)
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