| 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 |
Weight 5th |
Wight > 25th |
Weight =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 |
|||||||