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Severe hypocalcaemia in the course of the coeliac disease in a 34-year-old patient — a case report
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Abstract
An atypical form of a coeliac disease, with the predominance of others then gastrointestinal symptoms, is increasingly recognized in adult patients. Atypical symptoms includes: hypochromic anaemia, electrolytic disturbance, neurological symptoms, osteopenia, osteoporosis and others. The report presents a case of a 34-year-old male admitted to the Department of Internal Diseases, Connective Tissue Diseases and Geriatrics in Gdansk, due to a severe hypocalcaemia (4.92 mg/dl). The coeliac disease was diagnosed based on the clinical course, serologic tests and on the histopathological exam of the small intestine sample. The implementation of the gluten free-diet resulted in a significant clinical improvement of patient’s condition. Early diagnosis and implementation of the glutenfree diet are crucial for regaining a normal functioning and decreasing the risk of severe complications.
Abstract
An atypical form of a coeliac disease, with the predominance of others then gastrointestinal symptoms, is increasingly recognized in adult patients. Atypical symptoms includes: hypochromic anaemia, electrolytic disturbance, neurological symptoms, osteopenia, osteoporosis and others. The report presents a case of a 34-year-old male admitted to the Department of Internal Diseases, Connective Tissue Diseases and Geriatrics in Gdansk, due to a severe hypocalcaemia (4.92 mg/dl). The coeliac disease was diagnosed based on the clinical course, serologic tests and on the histopathological exam of the small intestine sample. The implementation of the gluten free-diet resulted in a significant clinical improvement of patient’s condition. Early diagnosis and implementation of the glutenfree diet are crucial for regaining a normal functioning and decreasing the risk of severe complications.
Keywords
gluten; hypocalcemia; neurological symptoms
About this articleTitle
Severe hypocalcaemia in the course of the coeliac disease in a 34-year-old patient — a case report
Journal
Issue
Article type
Case report
Pages
93-101
Published online
2017-06-20
Page views
573
Article views/downloads
569
Bibliographic record
Forum Reumatol 2017;3(2):93-101.
Keywords
gluten
hypocalcemia
neurological symptoms
Authors
Natalia Buda
Paulina Szymczak
Katarzyna Gałecka
Sylwia Małgorzewicz
Piotr Wiśniewski
Zbigniew Zdrojewski
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