Recurrent heart failure in a child with underlying dilated cardiomyopathy associated with celiac disease: An unusual presentation

Abstract

Many previous studies have shown that certain cardiovascular conditions (including myocarditis, arrhythmias, and cardiomyopathy) are more prevalent in individuals with celiac disease compared to individuals without the disease. Association of celiac disease with dilated cardiomyopathy (DCMP) is a rare occurrence and a few cases have been reported and even fewer in children. Here, we report an interesting case of a 10-year-old male child who presented to the pediatric emergency in a life-threatening condition with congestive cardiac failure manifested by dyspnea, hepatomegaly, pedal edema, and raised JVP with underlying severe anemia. The diagnosis of DCMP associated with celiac disease was made. The child was advised for strict gluten-free diet and hematinics, and ivabradine was started for managing DCMP. Early diagnosis with screening tests may prevent serious complications and also are essential to prevent progression of the disease.

Keywords: Association; celiac; child; dilated cardiomyopathy; disease; gluten free; heart failure.

Figure 1

Duodenal biopsy showing Marsh 3B stage

Figure 2

Chest X-ray showing cardiomegaly