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  • Title: Dilated cardiomyopathy associated with celiac disease: A case report.
    Author: Elnour S, Hashim M, Ibrahim H.
    Journal: Clin Case Rep; 2021 Nov; 9(11):e04990. PubMed ID: 34804528.
    Abstract:
    BACKGROUND: Celiac disease, an immune-mediated inflammation of the small intestine, occurs in genetically predisposed individuals, and is caused by sensitivity to dietary gluten and related proteins. The global prevalence is approximately 1%. Celiac disease is frequently associated with extra-intestinal manifestations, including iron deficiency anemia, dermatologic eruptions, type 1 diabetes mellitus, thyroid disease, and connective tissue disorders, but is rarely associated with cardiomyopathy. CASE PRESENTATION: Our case describes a 33-year-old woman, who presented with exertional dyspnea and fatigue, and was diagnosed with severe iron deficiency anemia and dilated cardiomyopathy, secondary to celiac disease. CONCLUSION: High clinical suspicion is needed to identify celiac disease in patients diagnosed with dilated cardiomyopathy, as an improvement in cardiac function has been reported with strict adherence to a gluten-free diet.
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