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Reminder of important clinical lesson
Heart transplantation in rapidly progressive end-stage heart failure associated with celiac disease
  1. Juan P Barrio1,
  2. Geraldine Cura1,
  3. German Ramallo1,
  4. Mirta Diez2,
  5. Carlos A Vigliano3,
  6. Hugo A Katus4,
  7. Derliz Mereles4
  1. 1Servicio de Cardiología, Hospital Interzonal Dr José Penna, Bahia Blanca, Argentina
  2. 2Servicio de Transplantes y Unidad de Terapia Intensiva, Fundación Favaloro, Buenos Aires, Argentina
  3. 3Servicio de Anatomia Patológica, Fundación Favaloro, Buenos Aires, Argentina
  4. 4Department of Cardiology, Angiology and Pneumology, University of Heidelberg, Heidelberg, Germany
  1. Correspondence to Dr Derliz Mereles, derliz.mereles{at}med.uni-heidelberg.de

Summary

Celiac disease is characterised by chronic immune-mediated malabsorption in genetically susceptible individuals induced by gluten proteins present in wheat, barley and rye. It occurs in adults and children at rates approaching 1% of the population. Cardiomyopathy associated with celiac disease is infrequent. The authors present here a first case of a severe progressive dilated cardiomyopathy that required heart transplantation in young woman with celiac disease.

https://doi.org/10.1136/bcr.12.2010.3624

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.