Hypocholesterolemia is a biochemical abnormality that often does not have much interest for clinicians. However its frequency varies from 2 to 5% according to the studied populations and can reveal a severe disease (cancer, sareopenia, malabsorption...). We report the observation of Miss HY, 17 year old, in whom the biological association of a hypocholesterolemie state with ferriprive anaemia revealed a celiac disease. Diagnosis was confirmed by the anatomopathologic examination and analysis of both anti-gliadine and anti-endomysium antibodies. The introduction of a strict diet without gluten allowed normalization of the biological parameters and the improvement of clinical symptomatology.

译文

低胆固醇血症是一种生化异常,临床医师通常对此不太感兴趣。然而,根据研究人群的不同,其发生频率从2%到5%不等,并且可以显示出严重的疾病(癌症,肌肉减少症,吸收不良等)。我们报告了17岁的HY小姐的观察结果,在该观察中,低胆固醇血症状态与肥大性贫血的生物学联系揭示了乳糜泻。抗麦角蛋白和抗内胚层抗体的解剖病理学检查和分析证实了诊断。引入无麸质的严格饮食可以使生物学参数正常化并改善临床症状。

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