A case of gluten sensitive enteropathy, who presented with difficulty in walking
2012
Abstract Osteomalacia is a metabolic bone disease, which occurs due to impaired bone mineralization resulted from insufficient activity of vitamin D. Main reasons for vitamin D deficiency include malabsorptive states, diet with poor vitamin D and calcium content, insufficient sunlight exposure and higher numbers of birth. Gluten sensitive enteropathy is one of the most common causes of malabsorption. Gluten sensitive enteropathy is classically manifested with diarrhea, flatulence, weight loss and malabsorption. However, it can also present with non-gastrointestinal symptoms and signs, as it can be recognized by non-specific gastrointestinal symptoms. We presented a case that referred with gait abnormality and hip pain due to osteomalacia and was diagnosed as gluten-sensitive enteropathy. Keywords: Osteomalacia, gluten-sensitive enteropathy, gait abnormality Ozet Osteomalazi, D vitamini aktivitesindeki yetersizlik sonucu kemik mineralizasyonunun bozulmasi ile ortaya cikan metabolik bir kemik hastaligidir. Malabsorbsiyon durumlari, vitamin D ve kalsiyumdan fakir diyetle beslenme, gunes isigina yetersiz maruziyet ve dogum sayisinin fazla olmasi vitamin D eksikliginin baslica nedenlerindendir. Gluten enteropatisi malabsorbsiyonun sik sebeplerinden birisidir.Gluten enteropatisi klasik olarak diyare, siskinlik, kilo kaybi ve malasorbsiyon ile karsimiza cikar. Bununla birlikte nonspesifik gastrointestinal semptomlarla da karsimiza cikabilecegi gibi nongastrointestinal semptom ve bulgularlada karsimiza cikar. Biz burada osteomalaziye bagli yurume bozuklugu ve kalca agrisi ile gelen ve Gluten enteropatisi tanisi alan olguyu sunduk. Anahtar sozcukler: Osteomalazi, gluten enteropatisi, yurume guclugu
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