Navigating a Complex Clinical Conundrum: The Coexistence of Crohn’s Disease, Celiac Disease, and Ankylosing Spondylitis

Aourarh, Benayad and Aourarh, Aziz and Belkouchi, Lina and Saouab, Rachida and Essaoudi, Mohamed Amine (2025) Navigating a Complex Clinical Conundrum: The Coexistence of Crohn’s Disease, Celiac Disease, and Ankylosing Spondylitis. Asian Journal of Research and Reports in Gastroenterology, 8 (1). pp. 61-65.

Full text not available from this repository.

Abstract

The coexistence of Crohn’s disease (CrD), celiac disease (CD), and ankylosing spondylitis (AS) is exceptionally rare and poses significant diagnostic and therapeutic challenges. We report the case of a 27-year-old woman with alpha-thalassemia and a nonspecific genetic disorder, who presented with chronic diarrhea, severe weight loss, and Koenig syndrome. Laboratory results confirmed malabsorption syndrome, anemia, hypoalbuminemia, and elevated inflammatory markers, with colonoscopy and biopsies diagnosing CrD and CD. Six months later, she developed peripheral arthritis, leading to a diagnosis of AS. Treatment with corticosteroids, azathioprine, a gluten-free diet, and infliximab led to clinical remission. This case highlights the importance of a diagnostic approach in distinguishing overlapping autoimmune conditions and demonstrates the efficacy of infliximab in managing both gastrointestinal and rheumatologic manifestations.

Item Type: Article
Subjects: Digital Open Archives > Medical Science
Depositing User: Unnamed user with email support@digiopenarchives.com
Date Deposited: 05 Apr 2025 05:19
Last Modified: 05 Apr 2025 05:19
URI: http://doc.send2pub.com/id/eprint/1966

Actions (login required)

View Item
View Item