Childhood coeliac disease presenting as hepatitis with an associated aplastic anaemia: a case report and literature review
Keywords:Aplastic anaemia, Coeliac disease, Deranged liver function test, Pancytopaenia
Although aplastic anaemia and deranged liver function test are well documented in the adult coeliac literature, this combination is not well recognized in childhood. We report a case of 8 year old girl who presented with jaundice and spontaneous bruising. Initial investigations showed pancytopenia, raised bilirubin and transaminases. On extensive evaluation to look in to the cause of above presentation, she was found to have coeliac disease with aplastic anaemia. She was started on gluten free diet which resolved her liver derangement. The marrow aplasia persisted however, requiring immune therapies.
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