Celiac Disease

Case Description:

This is a DXA scan from a 65-year-old Caucasian female referred with low bone mineral density and a poorly healing fracture. The second cause work up demonstrated celiac sprue with anti-TTG > 150. The diagnosis was subsequently confirmed on a small bowel biopsy. There are no specific DXA finding that would suggest celiac sprue over another secondary cause. A thoughtful secondary cause work up is important in patients being evaluated for low bone mineral density and fracture. Relatively large increases in bone mineral density have been reported with the treatment of celiac sprue with a gluten-free diet.

Credit:

Sarah L Morgan, MD, RD, CCD, The University of Alabama at Birmingham

References:

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