Inicio de la enfermedad celíaca tras curación de hepatitis aguda por el virus de la hepatitis B

Hepatitis B and Celiac Disease: a cause for concern?

“…A pesar del tamaño de muestra limitado de sus cohortes de hepatitis B, que requiere una interpretación conservadora, los estudios aún brindan datos intrigantes. Soto Iglesias y colaboradores (19) presentaron dos pacientes que desarrollaron EC después de la resolución de una infección aguda por el VHB. El diagnóstico de EC se confirmó mediante pruebas serológicas reactivas y la presencia de los hallazgos histopatológicos típicos.…”

Hepatobiliary Disorders in Celiac Disease: An Update

“…Infectious agents have been implicated in the pathogenesis of many autoimmune disorders. Transient infections or increased permeability of the mucosa may facilitate disease onset induced by the uptake of gluten peptides into a microenvironmental milieu in the small intestinal mucosa [6]. An environmental factor, such as an infectious agent, is thought to precipitate the disease via various pathogenic mechanisms, such as molecular mimicry, resulting in modulation of the host's immune tolerance [7].…”

“…An environmental factor, such as an infectious agent, is thought to precipitate the disease via various pathogenic mechanisms, such as molecular mimicry, resulting in modulation of the host's immune tolerance [7]. Recently, two patients with onset of CD after resolution of acute hepatitis B virus (HBV) infection have been reported in the literature [6]. Celiac disease has also been described in association with hepatitis C virus (HCV), rotavirus, adenovirus 12, and astrovirus as another immunologic manifestation of this infectious disease [8–11].…”