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Case Report

RMJ. 2014; 39(3): 349-353


Celiac disease presenting as hypocalcemic tetany; Report of four cases

Abdelrahman Mahmood Radaideh.

Abstract
Celiac disease (CD) is a lifelong gluten-sensitive autoimmune disorder of the small intestine. These patients present with gastrointestinal symptoms, extra-gastrointestinal symptoms or no symptoms. Adult patients rarely present with malabsorption. The removal of the offending antigen in the diet leads to complete resolution of the clinical condition. Diagnosis is usually suggested by the presence of highly sensitive and specific serological tests but established by biopsy of the small intestine. Many cases of CD have been reported to have hypocalcemia but symptomatic hypocalcemic tetany is not common. We describe here four patients with such presentations.

Key words: Celiac disease, hypocalcaemia, malabsorption, thyroiditis.



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