Abstract

Case Report

Hyperparathyroidism in celiac disease: A case study from UAE

Makki H Fayadh*, Salim Awadh, Loai El Kiwisney, Abdul Hadi Quadri, Prasad K Shetty and Mervat Naguib

Published: 07 April, 2020 | Volume 4 - Issue 1 | Pages: 011-014

Celiac disease affects 1% of the world population; however it is under diagnosed in UAE. The disease has many clinical manifestations, ranging from severe malabsorption to minimally symptomatic or non-symptomatic presentation. Hypocalcaemia is a common finding in celiac disease and could be the only presentation of the disease; however hypercalcemia has been previously reported in patients with celiac disease either due to primary hyperparathyroidism or tertiary hyperparathyroidism due to prolonged hypocalcaemia. A normal calcium level on the other hand in patients with untreated celiac disease who also have primary hyperparathyroidism can be due to interplay of these two conditions and may delay the diagnosis of primary Hyperparathyroidism. We report the very first case from our practice in UAE with untreated celiac disease and normal calcium level at presentation, where a diagnosis of primary hyperparathyroidism was not entertained initially. Patient went on gluten free diet which then caused normalization of intestinal abnormalities and likely calcium absorption manifesting as hypercalcemia on subsequent labs. This led to further work up and finally the diagnosis of Primary hyperparathyroidism due to parathyroid adenoma.

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Keywords:

Celiac disease; Hyperparathyroidism; UAE

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  • Hyperparathyroidism in celiac disease: A case study from UAE
    Makki H Fayadh*, Salim Awadh, Loai El Kiwisney, Abdul Hadi Quadri, Prasad K Shetty and Mervat Naguib Makki H Fayadh*,Salim Awadh, Loai El Kiwisney,Abdul Hadi Quadri,Prasad K Shetty,Mervat Naguib. Hyperparathyroidism in celiac disease: A case study from UAE. . 2020 doi: 10.29328/journal.acgh.1001016; 4: 011-014

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