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Minimally symptomatic hypocalcaemia unmasking celiac disease.

TitleMinimally symptomatic hypocalcaemia unmasking celiac disease.
Publication TypeJournal Article
Year of Publication2016
AuthorsLazaridis, A., Drosou M. E., Fontalis A., Prousali E., Hadwe S. E., Giouleme O., & Petidis K.
JournalScott Med J
Volume61
Issue4
Pagination195-196
Date Published2016 Nov
ISSN0036-9330
KeywordsCalcium, Celiac Disease, Diet, Gluten-Free, Dietary Supplements, Humans, Hypesthesia, Hypocalcemia, Iron, Male, Middle Aged, Osteoporosis, Patient Compliance, Treatment Outcome, Vitamin D
Abstract

INTRODUCTION: Celiac disease is an autoimmune disease of the small intestine which occurs in genetically predisposed people of all ages. A large clinical spectrum of manifestations accompanies the onset of the disease with diarrhoea, flatulence and weight loss being the most common. However, findings like osteoporosis, iron deficiency, anaemia and hypocalcaemia could also insinuate the existence of the disease.CASE PRESENTATION: We report the case of a 55-year-old man with numbness and tingling of the upper extremities due to hypocalcaemia that proved to be an uncommon case of celiac disease.CONCLUSION: A non-negligible number of adult patients with celiac disease can present with only minor and subclinical manifestations of the disease. As such, hypocalcaemia may be the sole manifestation of celiac disease. A high index of suspicion is needed for prompt diagnosis.

DOI10.1177/0036933016674866
Alternate JournalScott Med J
PubMed ID27753627

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