2010 issue 4

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Volume 19, issue 4

Case report

Can celiac disease be the cause of paranoid schizophrenia exacerbation? A case report

Agnieszka Tobiczyk-Teper1,2, Katarzyna Buryan-Marosz2, Irena Krupka-Matuszczyk1
1. Katedra i Klinika Psychiatrii i Psychoterapii, Śląski Uniwersytet Medyczny, Katowice
2. Oddział Psychiatryczny, Szpital Śląski, Cieszyn
Postępy Psychiatrii i Neurologii 2010; 19(4): 319–321
Keywords: paranoid schizophrenia, celiac disease

Abstract

Objective. To present a case of a female patient with concurrent exacerbations of both celiac disease and paranoid schizophrenia.
Case report. The patient, 52-year-old woman, was recurrently hospitalized for paranoid schizophrenia. During her recent admission celiac disease was diagnosed. In the course of her treatment intermittent psychotic aggravation, disorganized activity, autistic behavior exacerbation associated with persistent gastrointestinal disturbances including diarrhea, steatorrhea, weight loss, constant hyponatremia, and anemia were seen. The patient's celiac disease was confirmed by small intestine biopsy.
Commentary. A putative relationship between celiac disease and mental disorders was described in the literature. To check this possibility, psychiatric patients with gastrointestinal symptoms should undergo a thorough medical evaluation in consultation with an internist.

Address for correspondence:
Lek. Agnieszka Tobiczyk-Teper
Klinika Psychiatrii i Psychoterapii Śląskiego Uniwersytetu Medycznego w Katowicach
Górnośląskie Centrum Medyczne w Katowicach
ul. Ziołowa 45/47, 40-635 Katowice
e-mail: agnieszka.tobiczykteper@gmail.com