A 30-year-old pregnant woman with severe hypocalcemia as a debut of celiac disease.

Authors

  • Carmen María Olmeda-Brull Servicio de Medicina Interna. Hospital General de Villarrobledo. Villarrobledo (Albacete). España
  • Amalia Navarro-Martínez Servicio de Medicina Interna. Hospital General Universitario de Albacete. Albacete. España
  • Roberto Vera-Berón Servicio de Anatomía Patológica. Hospital General Universitario de Albacete. Albacete. España
  • Miguel Corbi-Pascual Servicio de Cardiología. Hospital General Universitario de Albacete. Albacete. España
  • Julián Solís-García del Pozo Servicio de Medicina Interna. Hospital General de Villarrobledo. Villarrobledo (Albacete). España

DOI:

https://doi.org/10.32818/reccmi.a3n1a6

Keywords:

hypocalcemia, celiac disease, puerperal.

Abstract

Hypocalcemia is a common finding in medical practice. The clinical spectrum is highly variable, ranging from an accidental finding to an emergency situation requiring immediate therapeutic measures. Consequently, correct differential diagnosis is essential. We report the case of a 30 year old woman with signs of hypocalcemia and associated tetany as an onset marker of celiac disease. The present case highlights the importance of an accurate diagnosis of celiac disease when considering the causes of hypocalcemia, although it is not very common, especially when associated with tetany.

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References

Green PH, Collier C. Celiac disease. N Engl J Med. 2007 Oct 25; 357(17): 1731- 1743.

Barada K, Bitar A, Mokadem MA, Hashash JG, Green P. Celiac disease in Middle Eastern and North African Countries: a new burden? World J Gastroenterol. 2010 Mar 28; 16(12): 1449-1457.

Casas MD, López-Longo FJ, García-Castro M, Díez I, Carpena M, Carreño L. Diagnóstico diferencial de los síndromes hipocalcémicos. Semin Fund Esp Reumatol. 2007; 8: 205-212.

Cabezas Agrícola JM. Protocolo diagnóstico de la hipocalcemia. Medicine. 2004; 9(17): 1080-1082.

Tomas H, Giner R, Bisquert M. Celiac disease. Rev Sdad Valenciana Patol Dig. 2001; 20: 65-71.

Catassi C. Screening of Celiac disease. En: Mäki M, Collin P, Visakorpi JK, editors. Celiac disease. Proceedings of the seventh international Symposium on celiac disease. Tampere, Finland. Coeliac Disease. Study Group. 1997; 23-24.

Sulkanen S, Halttunen T, Laurila P, Maki M. Tissue tranglutaminase autoantibody enzymelinked inmunosorbert assay in detecting Celiac disease. Gastroenterology. 1998; 115: 1322-1328.

Riestra S, Fernández E, Bousoño C, Rodrigo L. Celiac disease. Gastroenterol Hepatol. 2001; 24: 515.

Pauzner R, Rothman P, Schwartz E, Neumann G, Farfel Z. Acute onset of celiac disease in the puerperium. Am J Gastroenterol. 1992; 87: 1037-1039.

Malnick SDH, Atali M, Lune Y, Fraser G, Geltner D. Celiac sprue presenting during the puerperium. J Clin Gastroenterol. 1998; 26: 164-166.

Lebwohl B, Sanders DS, Green PHR. Coeliac disease. Lancet. 2017 Jul 28; S0140-6736(17): 31796-31798. Doi: https://doi.org/10.1016/S0140-6736(17)31796-8 metadata.

Published

2018-04-30

How to Cite

1.
Olmeda-Brull CM, Navarro-Martínez A, Vera-Berón R, Corbi-Pascual M, Solís-García del Pozo J. A 30-year-old pregnant woman with severe hypocalcemia as a debut of celiac disease. Rev Esp Casos Clin Med Intern [Internet]. 2018 Apr. 30 [cited 2024 Nov. 15];3(1):15-7. Available from: https://www.reccmi.com/RECCMI/article/view/211