Chronic mucocutaneous candidiasis may cause elevated gliadin antibodies.

Abstract

UNLABELLED:

We present a 4-year-old boy admitted to the hospital due to the typical symptoms of celiac disease with severe dystrophy, anaemia and elevated gliadin IgG antibodies. Upper endoscopy ruled out celiac disease but showed severe Candida esophagitis. Due to an impaired T-cell function especially following Candida antigen stimulation in vitro, plus recurrent Candida infections of the skin, the diagnosis of chronic mucocutaneous candidasis (CMC) was made. Under the treatment with fluconazol, trimethoprim/sulfmethoxazole and IVIG, the child improved impressively. Gliadin antibodies declined steadily.

CONCLUSION:

The common symptoms growth retardation, anaemia and elevated gliadin antibodies are suggestive for celiac disease but very unspecific. The rare immunodeficiency CMC may cause elevated gliadin antibodies.

• Authors: Florian Brinkert, Marijke Sornsakrin, Dorothee Krebs-Schmitt, Rainer Ganschow
• Journal: Acta paediatrica (Oslo, Norway : 1992) (Acta Paediatr) Vol. 98 Issue 10 Pg. 1685-8 (Oct 2009) ISSN: 1651-2227 [Electronic] Norway
• PMID: 19549274 (Publication Type: Journal Article)

Chemical References

• Antifungal Agents
• Immunoglobulin G
• Gliadin

Topics

• Antifungal Agents (therapeutic use)
• Candidiasis, Chronic Mucocutaneous (diagnosis, drug therapy, immunology)
• Celiac Disease (diagnosis)
• Child, Preschool
• Diagnosis, Differential
• Endoscopy, Gastrointestinal
• Esophagitis (microbiology)
• Gliadin (immunology)
• Humans
• Immunoglobulin G (blood)
• Immunologic Deficiency Syndromes (diagnosis)
• Male
• T-Lymphocyte Subsets (immunology)