Abstract
Sir, We describe a case of coeliac disease that remained undiagnosed for many years and induced a hypocoagulant state and bilateral adrenal haemorrhage. This is the first reported case of bilateral adrenal haemorrhage in a patient with this disorder. A 43-year-old woman presented with sub-acute back pain requiring morphine. She did not smoke, drink alcohol, or take medications or illicit drugs. Physical examination revealed severe cachexia (BMI 15 kg/m2). She was afebrile, with a blood pressure of 110/75 mmHg. She reported a 10-year history of progressive unexplained weight loss with lack of energy. There was no decrease in appetite until 6 months prior, when she began to limit her intake due to persistent diarrhoea. Laboratory investigation revealed potassium …
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