Disabling osteomalacia and myopathy as the only presenting features of celiac disease: A case report

Costantine Albany, Zhanna Servetnyk

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: Celiac disease is an autoimmune inflammatory disease of the small intestine precipitated by the ingestion of gluten, a component of wheat protein, in genetically susceptible persons. Classically, the disease manifests with diarrhea, weight loss and anemia. There are very few reports of osteomalacia as the presenting symptom, and even fewer of osteomalacia as the only symptom of celiac disease at presentation. Case presentation: In this case report we describe a 40 year-old patient who presented with 6 months history of progressively worsening and disabling osteomalacia as the only presentation of a celiac disease. With adherence to a gluten-free diet and calcium-vitamin D supplementation, the patient's condition improved remarkably within three months and she was able to walk pain free. Conclusion: Celiac disease frequently is under diagnosed or misdiagnosed which results in unnecessary morbidity such as disabling osteomalacia. Therefore, early diagnosis of celiac disease is important because the symptoms completely resolve with adequate treatment.

Original languageEnglish (US)
Article number20
JournalCases Journal
Volume2
Issue number1
DOIs
StatePublished - 2009
Externally publishedYes

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Osteomalacia
Celiac Disease
Muscular Diseases
Gluten-Free Diet
Glutens
Diagnostic Errors
Vitamin D
Autoimmune Diseases
Triticum
Small Intestine
Anemia
Weight Loss
Early Diagnosis
Diarrhea
Eating
Calcium
Morbidity
Proteins

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Disabling osteomalacia and myopathy as the only presenting features of celiac disease : A case report. / Albany, Costantine; Servetnyk, Zhanna.

In: Cases Journal, Vol. 2, No. 1, 20, 2009.

Research output: Contribution to journalArticle

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