doiSerbia

Celiac disease diagnosed after uncomplicated pregnancy in a patient with history of bulimia nervosa

Milisavljević Nemanja (Department of Gastroenterohepatology, Clinical and Hospital Center “Bežanijska kosa”, Belgrade)
Cvetković Mirjana (Department of Gastroenterohepatology, Clinical and Hospital Center “Bežanijska kosa”, Belgrade)
Nikolić Goran (Department of Gastroenterohepatology, Clinical and Hospital Center “Bežanijska kosa”, Belgrade)
Filipović Branka (Department of Gastroenterohepatology, Clinical and Hospital Center “Bežanijska kosa”, Belgrade)
Milinić Nikola (Department of Gastroenterohepatology, Clinical and Hospital Center “Bežanijska kosa”, Belgrade)

Introduction. The association between celiac disease and eating disorders has been very rarely reported. This is the first report on celiac disease associated with bulimia in this part of Europe. Case report. An adult female patient with history of bulimia and one uncomplicated pregnancy was admitted to the Gastroenterology Department, due to long lasting dyspeptic symptoms, constipation, major weight loss and fatigue. After positive serological screening, the diagnosis of celiac disease was confirmed with histopathology examination of duodenal biopsy specimen. Conclusion. Complicated interactions between celiac disease and bulimia can make them difficult to diagnose and treat. It is important to consider the presence of celiac disease in patients with bulimia and gastrointestinal symptoms.

Keywords: celiac disease, eating disorders, pregnancy, diagnosis