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

Answer options

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

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.