1.
[Psychiatric symptoms in a child with gluten sensitivity].
Kraijenhoff, GPS, Smit, MJM, van Vlerken, RHT, Mearin Manrique, ML
Nederlands tijdschrift voor geneeskunde. 2019
Abstract
BACKGROUND Non-celiac gluten sensitivity (NCGS) is a diagnosis that is increasingly being reported. Psychiatric symptoms can be a rare but serious manifestation of this new clinical entity. CASE REPORT A 13-year-old girl consulted the paediatrician with abdominal pain, diarrhoea, bloating, and compulsive thoughts and fears; these disappeared on a gluten-free diet. Celiac disease and wheat allergy were excluded. Double-blind placebo-controlled gluten challenge confirmed the diagnosis NCGS. CONCLUSION Consider a diagnosis of NCGS in patients with psychiatric symptoms in combination with abdominal symptoms.
2.
[Pediatric gastrointestinal disorders at hight altitude. Report of two cases and review of literature.].
Carreño, WD, García, CP, Velásquez, AMR, Dadán, S
Acta gastroenterologica Latinoamericana. 2016;(1):38-42
Abstract
Upon ascending above 2500 meters sea level, the human body undergoes a series of physiological changes that have been studied during years. These changes undertake various systems including gastrointestinal tract, with diverse clinical manifestations, most mild and therefore little reported and are underdiagnosed. Two pediatric patients who atended to the Pediatric Unit of Gastroenterolog, Hepatolog and Nutrition (Gastronutriped) in Bogota, in whose we documented symptoms affecting gastrointestinal tract associated with high altitude.Regarding to these cases, a review of the available literature focusing on physiolog, clinical manifestations and feasible treatment was made. The final aim of this article is to sensitize to health care professionals working in cities located at high altitudes, to consider this entity as a differential diagnosis in children from places with lower altitude.
3.
An 8-year-old girl with abdominal pain and mental status changes.
Ahrens-Nicklas, RC, Edmondson, AC, Ficicioglu, C
Pediatric emergency care. 2015;(6):459-62
4.
Case of levodopa toxicity from ingestion of Mucuna gigantea.
Tse, GG, Kim, BB, McMurtray, AM, Nakamoto, BK
Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health. 2013;(5):157-60
Abstract
Hawai'i is home to 1000 native species of flowering plants. Mucuna gigantea is one such Hawaiian species which has been studied as affordable sustenance and as a cover crop in developing countries. Mucuna gigantea and other Mucuna species (spp.) in general, are known to contain natural levodopa and its utility in the treatment of Parkinson's Disease has also been evaluated. Levodopa is converted in the periphery into dopamine which can then act on dopamine receptors to cause nausea, vomiting, arrhythmias, and hypotension. We describe a case in which a patient presents with abdominal pain, nausea, and vomiting after legume ingestion. The bean was ultimately identified as Mucuna gigantea and the patient was diagnosed with levodopa-induced gastrointestinal toxicity from consumption of the legume. A literature review was conducted using the database search engines, Biological Abstracts and PubMed, with a broad combination of keywords of which include "mucuna, "gigantean," "levodopa," "l-dopa," "toxicity," and the association between Mucuna gigantea ingestion and levodopa toxicity is discussed. These findings expand the differential diagnosis of abdominal pain associated with nausea and vomiting in the correct clinical context.