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© 1992 British Society for Rheumatology

case-report

OLIGOARTHRITIS-A PRESENTING FEATURE OF OCCULT COELIAC DISEASE

K. CHAKRAVARTY and D. G. I. SCOTT

Department of Rheumatology and Rehabilitation, Norfolk and Norwich Hospital Brunswick Road, Norwich NR1 3SR

Correspondence to: Correspondence to Dr K. Chakravarty

Seven cases of arthritis related to coeliac disease have been described in the English literature, all with features of malabsorption. We describe a patient with an acute inflammatory oligoarthritis and little evidence of intestinal malabsorption who was subsequently found to have asymptomatic coeliac disease on intestinal biopsy. His arthritis responded to gluten free diet and is now in remission. A greater awareness of the association between coeliac disease and arthritis is needed, especially because both these conditions are potentially curable.

KEY WORDS: Coeliac disease, Malabsorption, Inflammatory oligoarthritis


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