Celiac Disease Diagnosed in an Older Adult Patient with a Complex Neuropsychiatric Involvement: A Case Report and Review of the Literature

Emma Falato; Fioravante Capone; Federico Ranieri; Lucia Florio; Marzia Corbetto; Chiara Taffon; Cinzia Niolu; Giorgio Di Lorenzo; Vincenzo Di Lazzaro

doi:10.3390/brainsci10070426

Celiac Disease Diagnosed in an Older Adult Patient with a Complex Neuropsychiatric Involvement: A Case Report and Review of the Literature

Brain Sci. 2020 Jul 3;10(7):426. doi: 10.3390/brainsci10070426.

Authors

Emma Falato¹, Fioravante Capone¹, Federico Ranieri², Lucia Florio³, Marzia Corbetto⁴, Chiara Taffon⁵, Cinzia Niolu⁶, Giorgio Di Lorenzo⁶, Vincenzo Di Lazzaro¹

Affiliations

¹ Unit of Neurology, Neurophysiology, Neurobiology, Department of Medicine, Università Campus Bio-Medico di Roma, via Álvaro del Portillo 200, 00128 Rome, Italy.
² Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy.
³ Unit of Neurology, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, 71013 Foggia, Italy.
⁴ Department of Neurology, Santa Maria Goretti Hospital, 04100 Latina, Italy.
⁵ Unit of Pathology, Università Campus Bio-Medico di Roma, via Álvaro del Portillo 200, 00128 Rome, Italy.
⁶ Unit of Psychiatry, Department of Systems Medicine, University of Rome Tor Vergata, via Montpellier 1, 00133 Rome, Italy.

Abstract

We present a case of celiac disease (CD) diagnosis in a 75-year-old woman with a long-term history of chronic delusional jealousy and a complex neurological involvement. The case describes a very unusual clinical picture, provides some clinical clues, and highlights the importance of being aware of CD extraintestinal manifestations in order to get a timely diagnosis.

Keywords: celiac disease; delusional jealousy; spastic paraparesis.

Publication types

Case Reports