Abstract

Summary Background Celiac disease is a common disorder characterised by an immune response to ingested wheat gluten. It may be associated with pulmonary or cardiac manifestations. Methods Case report. Results A 52-year old woman with a history of chronic anemia presented with diffuse alveolar hemorrhage and atrioventricular heart block. The diagnosis of celiac disease was based on positive anti-transglutaminase, anti-endomysial, and anti-gliadin antibodies, and on jejunal biopsies showing complete villous atrophy. Conclusion Screening for celiac disease using anti-transglutaminase antibodies should be performed in patients with diffuse alveolar hemorrhage. Electrocardiogram is warranted in patients with celiac disease or alveolar hemorrhage.

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