Abstract
There is an increased incidence of celiac disease in patients with idiopathic dilated cardiomyopathy. We report a 4 7 year-old female presenting with heart failure secondary to dilated cardiomyopathy of unknown etiology. During the five months following the first hospitalization the patient had multiple hospital admissions due to decompensate heart failure. Due to a history of intermittent diarrhea and weight loss, a celiac disease was suspected. Antiendomysial antibodies were positive and there was a villous atrophy in duodenal mucosa. A gluten free diet was started with a concomitant recovery of her functional capacity. After one month of gluten free diet a new echocardiogram showed a normal left ventricle and systolic function.
Highlights
There is an increased incidence of celiac disease in patients with idiopathic dilated cardiomyopathy
We report a 47 year-old female presenting with heart failure secondary to dilated cardiomyopathy of unknown etiology
La asociación entre enfermedad celíaca y miocardiopatía dilatada es poco frecuente, pero debido a su ominoso pronóstico, sin un tratamiento adecuado, hace importante descartarla ante la presencia de una miocardiopatía dilatada de etiología incierta
Summary
There is an increased incidence of celiac disease in patients with idiopathic dilated cardiomyopathy. La enfermedad celíaca es una enfermedad con un compromiso predominantemente intestinal, pero durante los últimos años se ha descrito su asociación con múltiples patologías sistémicas. Dentro de ellas se ha observado una mayor incidencia de enfermedad celíaca en los pacientes con miocardiopatía dilatada.
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