Preview

New St. Petersburg Medical Records

Advanced search

Gluten intolerance as a manifestation connective tissue dysplasia (clinical case)

https://doi.org/10.24884/1609-2201-2026-105-2-56-63

Abstract

Connective tissue dysplasia (CTD) is manifested by almost all body systems. In the gastrointestinal tract (GIT) with CTD, abnormalities in the structure of the digestive system are mainly detected. Features of the structure and function of enterocytes are rarely described. A clinical case of a 13-year-old adolescent with gluten intolerance suspected of being associated with impaired structure and function of CTDrelated enterocytes is presented. A hypothesis on the possible cause of gluten intolerance due to excessive zonulin formation is proposed, requiring further research.

About the Authors

A. G. Grigoryan
Pavlov University
Russian Federation

Arsen G. Grigoryan, resident of the Department of Pediatrics

Saint Petersburg



N. N. Smirnova
Pavlov University
Russian Federation

Natalia N. Smirnova, Professor of the Department of Pediatrics

6–8 L'va Tolstogo St., Saint Petersburg, 197022



V. Yu. Detkov
Children's City Multidisciplinary Clinical Center for High Medical Technologies named after K. A. Rauchfus
Russian Federation

Vyacheslav Yu. Detkov, Chief Physician

Saint Petersburg



E. O. Mironyuk
Children's City Multidisciplinary Clinical Center for High Medical Technologies named after K. A. Rauchfus
Russian Federation

Elena O. Mironyuk, Deputy Chief Physician for Pediatrics

Saint Petersburg



E. M. Prodanovich
Children's City Multidisciplinary Clinical Center for High Medical Technologies named after K. A. Rauchfus
Russian Federation

Ekaterina M. Prodanovich, Head of Pathology Department

Saint Petersburg



References

1. Akatova E. V., Arutyunov G. P., Baranov A. A. et al. Clinical Guidelines. Undifferentiated Connective Tissue Dysplasia. Therapy. 2024;(5). (In Russ.). https://dx.doi.org/10.18565/therapy.2024.5suppl.1-43.

2. Zemtsovsky E. V. Is it necessary to try to differentiate undifferentiated connective tissue dysplasias. New St. Petersburg medical records. 2008;(1):67–74. (In Russ.).

3. Kadurina T. I., Abakumova L. N. Connective tissue dysplasia: the path to diagnosis. /Bulletin of the Ivanovo Medical Academy. 2014;19(3):511. (In Russ.).

4. Azizova Z. K., Eremenkova P. E., Chernenkov Yu. V., Gumenyuk O. I. Lesions of the digestive tract and connective tissue dysplasia. Experimental and clinical gastroenterology. 2025;(1):91–95. (In Russ.). https://doi.org/10.31146/1682-8658-ecg-233-1-91-95.

5. Lyalyukova E. A., Rozhkova M. Yu. Connective tissue dysplasia: the main gastroenterological manifestations. Clinical and experimental gastroenterology. 2010;(6):66–69. (In Russ.).

6. Arsentiev V. G., Letsyuk O. B., Ushakova E. P., Shabalov N. P. Method of screening diagnosis of connective tissue dysplasia in children. Russian Medical Journal. 2014;(3):26–29. (In Russ.).

7. Sapone A., Bai J. C., Ciacci C., Dolincek J. et al. Spectrum of gluten-related disorders consensus on new nomenclature and classifi cation. BMC Med. 2012;10:13.

8. Averkina N. A., Baranov A. A., Bel’mer S. V. et al. “Celiac Disease-2025”: Project of Clinical Guidelines for the Diagnosis and Treatment of Celiac Disease in Children. Pediatric pharmacology. 2025;22(4):495-522. (In Russ.). https://doi.org/10.15690/pf.v22i4.2941.

9. Gauza-Wlodarczyk M., Kubisz L., Wlodarczyk D. Amino acid composition in determination of collagen origin and assessment of physical factors effects. Int J Biol Macromol. 2017;104:987–991.

10. Macura B., Kiecka A., Szczepanik M. Intestinal permeability disturbances: causes, diseases and therapy. Clin Exp Med. 2024;24(1):232. https://doi.org/10.1007/s10238-024-01496-9.

11. Tarasova G. N., Yakovlev A. A., Zubova A. D., Nukhova S. M. Mechanisms of epithelial barrier permeability disruption in inflammatory bowel disease. Farmatek. 2021;(2):30–35. https://dx.doi.org/10.18565/pharmateca.2021.2.30-35.

12. Seethaler B., Basrai M., Neyrinck A. M. et al. Biomarkers for assessment of intestinal permeability in clinical practice. Am J Physiol Gastrointest Liver Physiol. 2021;321(1):G11G17. https://doi.org/10.1152/ajpgi.00113.2021.

13. Kuznetsova D. A., Lapin S. V., Schukina O. B. et al. Clinical and diagnostic and prognostic significance of pancreatic autoantibodies and antibodies to intestinal goblet cells in inflammatory bowel disease. Medical alphabet. 2025;(5):26–33. https://doi.org/10.33667/2078-5631-2025-5-26-33.


Review

For citations:


Grigoryan A.G., Smirnova N.N., Detkov V.Yu., Mironyuk E.O., Prodanovich E.M. Gluten intolerance as a manifestation connective tissue dysplasia (clinical case). New St. Petersburg Medical Records. 2026;(2):56-63. (In Russ.) https://doi.org/10.24884/1609-2201-2026-105-2-56-63

Views: 57

JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1609-2201 (Print)