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Deschner EL, Barkey JL, Harrison ME. Celiac disease and anorexia nervosa: a case report. Int J Pediatr Adolesc Med. 2017;4(4):144-146doi: 10.1016/j.ijpam.2017.09.001.
Deschner, E. L., Barkey, J. L., & Harrison, M. E. (2017). Celiac disease and anorexia nervosa: a case report. International journal of pediatrics & adolescent medicine, 4(4), 144-146. https://doi.org/10.1016/j.ijpam.2017.09.001
Deschner, Emilie L, et al. "Celiac disease and anorexia nervosa: a case report." International journal of pediatrics & adolescent medicine vol. 4,4 (2017): 144-146. doi: https://doi.org/10.1016/j.ijpam.2017.09.001
Deschner EL, Barkey JL, Harrison ME. Celiac disease and anorexia nervosa: a case report. Int J Pediatr Adolesc Med. 2017 Dec;4(4):144-146. doi: 10.1016/j.ijpam.2017.09.001. Epub 2017 Dec 19. PMID: 30805520; PMCID: PMC6372482.
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Int J Pediatr Adolesc Med. 2017 Dec;4(4):144-146. doi: 10.1016/j.ijpam.2017.09.001. Epub 2017 Dec 19.

Celiac disease and anorexia nervosa: a case report.

International journal of pediatrics & adolescent medicine

Emilie L Deschner, Janice L Barkey, Megan E Harrison

Affiliations

  1. Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
  2. Department of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada.
  3. Children's Hospital of Eastern Ontario (CHEO) Research Institute, Canada.

PMID: 30805520 PMCID: PMC6372482 DOI: 10.1016/j.ijpam.2017.09.001

Abstract

The relationship between anorexia nervosa and celiac disease remains an area of ongoing research. Identification of celiac disease in patients with restricted nutritional intake can be challenging since abdominal complaints are a common comorbidity associated with eating disorders and since diagnosis of celiac disease requires a duodenal biopsy while on a gluten containing diet. In this report, we present a 12-year-old female who developed anorexia nervosa and was thereafter diagnosed with celiac disease. The latter diagnosis occurred after a 2-year period of persistent abdominal complaints and duodenal biopsies on three separate occasions. Our case highlights the diagnostic challenge, which may include initially missing the diagnosis, associated with celiac disease in patients who are restricting their nutritional intake, and also the importance of re-testing in patients where gastrointestinal complaints are persistent for extended time periods after refeeding.

Keywords: Anorexia nervosa; Celiac disease

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