Figure 1: Picture shows abdominal distension
Figure 2: Picture shows abdominal distension. Severe malnourishment can be seen in the muscle wasting
Figure 3:Severe malnourishment can be seen in the muscle wasting (Side way)
Figure 4: Picture shows post-treatment of celiac crisis
Figure 5: Histologic feature of celiac disease: increased intraepithelial lymphocytes (IELs) with villous atrophy of the duodenal mucosa
  Upon Admission

After GFD+ steroid in 3 days

After three months After 6 months

Weight

9.3 KG

10.6 KG

14.4 KG

20.5 kg

Height

90 cm

90 cm

93.5 cm

98 cm

Growth chart parameter (weight for height)

Weight < 3rd
Hight < 3rd

Weight 5th
Hight 5th

Wight > 25th
Hight 25th

Weight =75th
Height =75th

HB

9 mg \dl

9.6 mg\dl

12 mg \dl

13 mg/dl

MCV

low

low

normal

normal

Albumin

13

Increased to 19 mg\dl (without albumin transfusion)

34.5 mg/dl

38 mg/dl

K

3.2

 

4.2

Normal

Ph

0.6 low

0.96   normal   without phosphate given

1.86 normal

Normal

Mg

0.5 low

0.68 without magnesium given

0.84

Normal

Ca

2.3

 

2.22

Normal

Vit D

3

 

75

Normal

Serum Iron

9

 

 

Normal

IBC

7

 

 

Normal

Ferritin

50

 

 

Normal

FT4

10.6

 

normal

Normal

TSH

8.3

 

normal

Normal

TTG

380

 

57

 

Table 1: Laboratory Summary