Brian Anderson1, Adam Pitsinger2. 1. Attending Clinician, National University of Health Sciences, Lombard, IL. 2. Chiropractor, Private Practice, Polaris, OH.
Abstract
OBJECTIVE: The purpose of this case report is to describe a patient with chronic, multisite muscle fasciculations who presented to a chiropractic teaching clinic and was treated with dietary modifications. CLINICAL FEATURES: A 28-year-old man had muscle fasciculations of 2 years. The fasciculations began in his eye and progressed to the lips and lower extremities. In addition, he had gastrointestinal distress and fatigue. The patient was previously diagnosed as having wheat allergy at the age of 24 but was not compliant with a gluten-free diet at that time. Food sensitivity testing revealed immunoglobulin G-based sensitivity to multiple foods, including many different grains and dairy products. The working diagnosis was gluten neuropathy. INTERVENTION AND OUTCOME: Within 6 months of complying with dietary restrictions based on the sensitivity testing, the patient's muscle fasciculations completely resolved. The other complaints of brain fog, fatigue, and gastrointestinal distress also improved. CONCLUSIONS: This report describes improvement in chronic, widespread muscle fasciculations and various other systemic symptoms with dietary changes. There is strong suspicion that this case represents one of gluten neuropathy, although testing for celiac disease specifically was not performed.
OBJECTIVE: The purpose of this case report is to describe a patient with chronic, multisite muscle fasciculations who presented to a chiropractic teaching clinic and was treated with dietary modifications. CLINICAL FEATURES: A 28-year-old man had muscle fasciculations of 2 years. The fasciculations began in his eye and progressed to the lips and lower extremities. In addition, he had gastrointestinal distress and fatigue. The patient was previously diagnosed as having wheatallergy at the age of 24 but was not compliant with a gluten-free diet at that time. Food sensitivity testing revealed immunoglobulin G-based sensitivity to multiple foods, including many different grains and dairy products. The working diagnosis was gluten neuropathy. INTERVENTION AND OUTCOME: Within 6 months of complying with dietary restrictions based on the sensitivity testing, the patient's muscle fasciculations completely resolved. The other complaints of brain fog, fatigue, and gastrointestinal distress also improved. CONCLUSIONS: This report describes improvement in chronic, widespread muscle fasciculations and various other systemic symptoms with dietary changes. There is strong suspicion that this case represents one of gluten neuropathy, although testing for celiac disease specifically was not performed.
Authors: M Hadjivassiliou; R A Grünewald; R H Kandler; A K Chattopadhyay; J A Jarratt; D S Sanders; B Sharrack; S B Wharton; G A B Davies-Jones Journal: J Neurol Neurosurg Psychiatry Date: 2006-07-11 Impact factor: 10.154
Authors: Marios Hadjivassiliou; Arup K Chattopadhyay; Richard A Grünewald; John A Jarratt; Rosalind H Kandler; D G Rao; D S Sanders; S B Wharton; G A B Davies-Jones Journal: Muscle Nerve Date: 2007-04 Impact factor: 3.217
Authors: Armin Alaedini; Peter H R Green; Howard W Sander; Arthur P Hays; Eugenia T Gamboa; Alessio Fasano; Michelle Sonnenberg; Linda D Lewis; Norman Latov Journal: J Neuroimmunol Date: 2002-06 Impact factor: 3.478
Authors: P M Matricardi; A Bockelbrink; K Beyer; T Keil; B Niggemann; C Grüber; U Wahn; S Lau Journal: Clin Exp Allergy Date: 2008-03 Impact factor: 5.018
Authors: Anna Sapone; Karen M Lammers; Vincenzo Casolaro; Marcella Cammarota; Maria Teresa Giuliano; Mario De Rosa; Rosita Stefanile; Giuseppe Mazzarella; Carlo Tolone; Maria Itria Russo; Pasquale Esposito; Franca Ferraraccio; Maria Cartenì; Gabriele Riegler; Laura de Magistris; Alessio Fasano Journal: BMC Med Date: 2011-03-09 Impact factor: 8.775
Authors: Anna Sapone; Julio C Bai; Carolina Ciacci; Jernej Dolinsek; Peter H R Green; Marios Hadjivassiliou; Katri Kaukinen; Kamran Rostami; David S Sanders; Michael Schumann; Reiner Ullrich; Danilo Villalta; Umberto Volta; Carlo Catassi; Alessio Fasano Journal: BMC Med Date: 2012-02-07 Impact factor: 8.775