Abstract
The Journal of the Ceylon College of Physicians (JCCP) is a peer-reviewed, open access journal published bi-annually by the Ceylon College of Physicians (CCP) in the last week of June and December.The objective of the Journal is to promote good clinical practice and influence policy making across the medical world through publication of original research and peer reviewed articles on current issues and to foster responsible and balanced debate on issues that affect medicine and health care in Sri Lanka. Contributions to the JCCP reflect its national and multidisciplinary readership and include current thinking across a range of medical specialties.
Highlights
Coeliac disease is a rare cause of secondary osteoporosis
At the age of 14 years she had been diagnosed of having pure red cell aplasia which was treated with steroids for 6 months and she had been in remission since
A 6 month course of steroids for pure red cell aplasia 3 years ago was unlikely to cause this degree of inappropriately low Bone mineral density (BMD)
Summary
Coeliac disease is a rare cause of secondary osteoporosis. It usually presents with diarrhoea and failure to thrive, following the introduction of wheat to the diet. It can be associated with other auto immune diseases. We report a case of occult coeliac disease presenting with severe osteoporosis and autoimmune thyroiditis in a patient with a history of pure red cell aplasia
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