severe hyperbilurinemia and Coeliac Disease

Celiac disease is an autoimmune disorder triggered by the intake of foods containing gluten. it can create different clinic tables. Although it is usually diagnosed with typical findings in childhood, it may come with very different clinical tables in adulthood. While bloating, diarrhea after gluten intake and inability to gain weight are its typical findings, patient can admit with its atypical findings as joint pain, iron deficiency anemia, abnormal liver function test, infertility and abortus in women.It's prevalance is about 1-2 %. We present a case who was taken diagnosis of celiac disease when presented with ascites, icterus and general statement disorientation after IVF treatment.

Ciddi Hiperbiluribinemi ile seyreden Çölyak Hastalýðý

Çölyak hastalýðý gluten içeren gýdalarýn alýmýyla tetiklenen otoimmun bir bozukluktur. Farklý klinik tablolar oluþturabilir (1).Çoðunlukla çocukluk çaðýnda tipik bulgularla taný almasýna raðmen eriþkin yaþta da çok farklý klinik tablolar ile gelebilir.Tipik bulgularý karýnda þiþkinlik,glutenli gýda yemek sonrasý diyare ataklarý,kilo alamama iken hastalar atipik olarak eklem aðrýsý,demir eksikliði anemisi,nedeni bilinmeyen karaciðer hasarý,kadýnlarda abortus ve infertilite gibi bulgular ile gelebilir. ÇH toplumdaki sýklýðý %1-2 civarýndadýr(2). IVF tedavisi sonrasý asit, sarýlýk ve genel durum bozukluðu geliþen ve çölyak hastalýðý tanýsý konan bir olgu sunulmuþtur.