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Rheumatology 2000; 39: 335-336
© 2000 British Society for Rheumatology

Letters to the Editor

Coeliac disease can still present with osteomalacia!

R.A. Basu, K. Elmer, A. Babu and C. A. Kelly

Department of Rheumatology, Queen Elizabeth Hospital, Sheriff Hill, Gateshead, NE9 6SX, UK

Sir, Coeliac disease is known to be associated with an increased prevalence of osteoporosis, although the exact mechanism of this is uncertain. However, osteomalacia is now rarely reported in association with coeliac disease in the Western world. We describe three cases of osteomalacia presenting in middle-aged Caucasian women, all of whom had previously undiagnosed coeliac disease.

A 60-yr-old lady with insulin-dependent diabetes presented with a 15-yr history of diarrhoea and low back pain. She was noted to be only 140 cm tall and weighed just 40 kg. Initial investigations revealed a macrocytic anaemia with a raised alkaline phosphatase and a corrected . . . [Full Text of this Article]

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