Abstract
Coeliac disease is a systemic autoimmune disorder with major intestinal manifestations. It has multiple hematologic associations including anaemia (mostly due to iron, folate and/or vitamin B12 malabsorption), other cytopenias, coagulation abnormalities, hyposplenism, IgA deficiency and lymphomas. Aplastic anaemia has however, only rarely been described with celiac disease in published literature. We here present a case of atypical coeliac disease in a 40 year male Indian patient, with insignificant gastrointestinal symptoms, presenting with aplastic anaemia manifested by pancytopenia with hypocellular bone marrow. On gluten free diet, his symptoms like weakness, fatigue and malaise were relieved—blood and platelet transfusion requirement also diminished.
References
Green PHR, Cellier CC (2007) Coeliac disease. N Engl J Med 357:1731–1742
Halfdanarson TR, Litzow MR, Murray JA (2007) Hematologic manifestations of coeliac disease. Blood 109:412–421
Lal S, Nain CK, Prasad KK, Thapa BR (2005) Celiac disease in Chandigarh: a population survey. Indian J Gastroenterol 24(Supplement 1):A39
Fisgin T, Yarali N, Duru F, Usta B, Kara A (2004) Hematologic manifestation of childhood coeliac disease. Acta Haematol 111:211–214
Lo W, Sano K, Lebwohl B et al (2003) Changing presentation of adult coeliac disease. Dig Dis Sci 48:395–398
Grey-Davies E, Hows JM, Mars JCW (2008) Aplastic anaemia in association with coeliac disease: a series of three cases. Br J Haematol 143:258–260
Salmeron G, Patey N, de Latour RP, Raffoux E, Gluckman E, Brousse N, Socié G, Robin M (2009) Coeliac disease and aplastic anaemia: a specific entity? Br J Haematol 146:122–124
Maheshwari A, Nirupam N, Aneja S, Meena R, Chandra J, Kumar P (2012) Association of coeliac disease with aplastic anaemia. Indian J Pediatr 79(10):1372–1373
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Basu, A., Ray, Y., Bowmik, P. et al. Rare Association of Coeliac Disease with Aplastic Anaemia: Report of a Case from India. Indian J Hematol Blood Transfus 30 (Suppl 1), 208–211 (2014). https://doi.org/10.1007/s12288-014-0331-2
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DOI: https://doi.org/10.1007/s12288-014-0331-2