Çölyak Tanısı Koymada İkilem

Abstract

Celiac disease (CeD) can remain undiagnosed with nonspecific complaints. We reported a female patient with previously unrecognized celiac disease and multiple extra intestinal manifestations, presenting with gastrointestinal bleeding and severe anemia, and misdiagnosed as Behcet's disease because of her oral aphthous ulcers. The patient who admitted to hospital with dizziness and fatigue had severe anemia. Laboratory findings revealed hypocalcemia, hypokalemia, hypomagnesemia. Vitamin A, vitamin B12, folic acid and vitamin D levels were low. In the light of this malabsorptive state anti tissue transglutaminase and anti endomysial antibodies were positive. Esophagogastroduodenoscopic findings were compatible with CeD. When we evaluated her for the accompanying manifestations we found osteoporosis, epilepsy, hypothyroidism, partial empty sella syndrome, oral aphthous ulcers, short stature, hematological abnormalities such as coagulation disorders and anemia. All the complaints can easily resolve with a dietary intervention in CeD if practitioners make the diagnosis with a comprehensive history and physical examination.