Ricardo Moreno Otero

Afectación hepática en la enfermedad celíaca

Celiac disease (CD) is an autoimmune enteropathy triggered by gluten ingestion in genetically susceptible individuals. Hypertransaminasemia has been observed in up to 40% of untreated celiac patients and is usually resolved by a gluten-free diet. The most common type of liver disease associated with CD is non-specific reactive hepatitis, while association with viral hepatitis or autoimmune-mediated liver diseases such as autoimmune hepatitis, primary biliary cirrhosis or primary sclerosing cholangitis is less frequent. Therefore, a practical recommendation would be to look for liver disfunction in patients with CD as well as to perform diagnostic tests for CD in patients with hypertransaminasemia or cholestasis of unknown etiology.: Celiac disease (CD) is an autoimmune enteropathy triggered by gluten ingestion in genetically susceptible individuals. Hypertransaminasemia has been observed in up to 40% of untreated celiac patients and is usually resolved by a gluten-free diet. The most common type of liver disease associated with CD is non-specific reactive hepatitis, while association with viral hepatitis or autoimmune-mediated liver diseases such as autoimmune hepatitis, primary biliary cirrhosis or primary sclerosing cholangitis is less frequent. Therefore, a practical recommendation would be to look for liver disfunction in patients with CD as well as to perform diagnostic tests for CD in patients with hypertransaminasemia or cholestasis of unknown etiology.

Púrpura de Schönlein-Henoch con afectación intestinal: exposición clínica

Resumen Las vasculitis son un grupo de enfermedades que se caracterizan por presentar inflamacion de los vasos sanguineos y pueden afectar a cualquier tipo de vaso del organismo. La purpura de Schonlein-Henoch es un tipo de vasculitis secundaria a hipersensibilidad, que afecta a los vasos de pequeno tamano. Debido a la rareza de la asociacion, se presenta el caso de un paciente con purpura cutanea y afectacion intestinal.