Abstract
A 13-year-old girl with controlled coeliac disease who had been on a gluten-free diet for the past 3 months was admitted with respiratory distress and hypoxia for the past week. Chest radiograph and CT scan showed bilateral widespread alveolar shadowing suggestive of a hypersensitive pneumonitis. There was a dramatic radiological and clinical response to oral corticosteroids. Bronchial lavage was suggestive of recurrent aspiration and histology of a transbronchial biopsy showed pulmonary haemosiderosis. We conclude that pulmonary haemosiderosis may occur in children with coeliac disease who are on a gluten-free diet.
MeSH terms
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Administration, Oral
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Adolescent
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Adrenal Cortex Hormones / administration & dosage
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Anti-Inflammatory Agents / administration & dosage
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Celiac Disease / complications*
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Celiac Disease / drug therapy
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Celiac Disease / therapy*
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Diet, Gluten-Free*
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Female
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Hemosiderosis / diagnosis*
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Hemosiderosis / drug therapy
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Hemosiderosis / pathology
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Humans
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Hypoxia / diagnosis
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Lung / pathology
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Lung Diseases / diagnosis*
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Lung Diseases / drug therapy
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Lung Diseases / pathology
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Pneumonia / diagnosis
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Pneumonia / drug therapy
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Pneumonia / pathology
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Radiography, Thoracic
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Respiratory Distress Syndrome / diagnosis
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Respiratory Distress Syndrome / drug therapy
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Tomography, X-Ray Computed
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Treatment Outcome
Substances
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Adrenal Cortex Hormones
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Anti-Inflammatory Agents