Celiac Disease Complicated with Renal Insufficiency and Autoimmune Thyroid Disease
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Savas Öztürk 1 * , Hatice Küçük 2, Işın Kılıçaslan 3, Emel Tatlı 2, Fuat Sar 2, Rumeyza Kazancıoğlu 1
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1 Haseki Training and Research Hospital, Internal Medicine, Division of Nephrology, İstanbul, Turkey2 Haseki Training and Research Hospital, Internal Medicine, İstanbul, Turkey3 Istanbul University, Istanbul Medical Faculty, Pathology, İstanbul, Turkey* Corresponding Author

Abstract

Celiac disease (CD) may coexist with another autoimmune disorders. We presented a woman with coeliac disease coexistent with autoimmune hypothyroidism, nephrosclerosis and severe hyperparathyroidism. Forty years-old hypertensive woman, who had diarrhea without tenesmus, blood and mucus for 20 years, was admitted to hospital. Parathyroid hormone level was very high. Creatinine clearance was 44.5 ml/minute, and protein was 596mg/day. Renal biopsy revealed immunofluorescence negative chronic changes mimicking nephrosclerosis. The clinical and biochemical presentation of CD maybe complicated or differed from in renal failure patient. Especially management of serum phosphorus and PTH levels may have great importance.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

EUR J GEN MED, Volume 7, Issue 2, April 2010, 226-229

https://doi.org/10.29333/ejgm/82859

Publication date: 12 Apr 2010

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