Abstract #1321651: Diagnosing Celiac Disease by Two Distinct Nail Signs in Patients With Hashimoto Thyroiditis: Case Series

Abstract

Celiac disease is associated with other autoimmune disorders including autoimmune hypothyroidism. Celiac disease should be considered in those with resistant hypothyroidism as it may affect levothyroxine absorption. The author reports 2 cases of resistant hypothyroidism secondary to celiac disease in which clinical clues for the diagnosis were elicited by examination of the hands which showed 2 distinct signs. The first case was a 23-year-old male who presented with resistant hypothyroidism and was found to have finger clubbing that led to the diagnosis of celiac disease.