Celiac disease: uncommon, oligosymptomatic course of illness, with profound hypoalbuminemia in an adult patient

Łukasz Lis, Andrzej Konieczny, Patryk Jerzak, Paweł Podgórski, Krzysztof Benc, Zbigniew Hruby


Celiac disease (CD) is an immune-mediated disease, caused by gluten, occurring in people with genetic predisposition. The course of the disease can vary and includes both intestinal and extra-intestinal manifestations. Many patients are undiagnosed for many years and some of them, in particular with nonspecific symptoms or asymptomatic, might never be diagnosed. We present a rare case of a patient, who’s first and practically the only symptom of the disease was a pathological fracture of the ribs. In addition, despite the lack of clinical symptoms of malabsorption syndrome, malnutrition and proteinuria, we observed profound hypoalbuminemia and hypoproteinemia. This case suggests that CD diagnostic should be undertaken in evaluation of every patient with osteoporotic fractures and hypoalbuminemia.


celiac disease; hypoalbuminemia; autoimmune diseases

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DOI: http://dx.doi.org/10.22551/2019.23.0602.10151

Copyright (c) 2019 Łukasz Lis, Andrzej Konieczny, Patryk Jerzak, Paweł Podgórski, Krzysztof Benc, Zbigniew Hruby

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ISSN: 2360-6975