A 2 y.o. boy was admitted to the hospital with weight loss, unstable discharges, anorexia, following the semolina's introduction (since 5 months). The child is adymanic, flabby, pale dry skin, subcutaneous layer is emaciated. Distended and tensed abdomen, tympanitis on percussion of the upper part of the abdomen, splashing sounds, feces are foamy, of light color, foul. On coprocytogram: a lot of neutral fat. What is the cause of the disease?

Answer options

1. Celiakia (celiac disease)
2. Mucoviscidosis (cystic fibrosis)
3. Disaccharidase insufficiency
4. Chronic enteritis
5. Intestinal dysbacteriosis

Explanation

A 2 y.o. boy was admitted to the hospital with weight loss, unstable discharges, anorexia, following the semolina’s introduction (since 5 months). The child is adymanic, flabby, pale dry skin, subcutaneous layer is emaciated. Distended and tensed abdomen, tympanitis on percussion of the upper part of the abdomen, splashing sounds, feces are foamy, of light color, foul. On coprocytogram: a lot of neutral fat. What is the cause of the disease?Semolina is purified wheat. In this case, patients develop celiac disease which is an autoimmune disease caused by an intolerance to gluten (a protein found in wheat). which acts as an antigen and forms an immune complex in the intestinal mucosa. Thus, cause malabsorption syndrome (loss of villi and proliferation of crypt cells). Coprocytogram shows a lot of natural fat key features of malabsorption.