Skip to main content

Advertisement

Log in

Rare Association of Coeliac Disease with Aplastic Anaemia: Report of a Case from India

  • Case Report
  • Published:
Indian Journal of Hematology and Blood Transfusion Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

References

  1. Green PHR, Cellier CC (2007) Coeliac disease. N Engl J Med 357:1731–1742

    Article  PubMed  CAS  Google Scholar 

  2. Halfdanarson TR, Litzow MR, Murray JA (2007) Hematologic manifestations of coeliac disease. Blood 109:412–421

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  3. Lal S, Nain CK, Prasad KK, Thapa BR (2005) Celiac disease in Chandigarh: a population survey. Indian J Gastroenterol 24(Supplement 1):A39

    Google Scholar 

  4. Fisgin T, Yarali N, Duru F, Usta B, Kara A (2004) Hematologic manifestation of childhood coeliac disease. Acta Haematol 111:211–214

    Article  PubMed  Google Scholar 

  5. Lo W, Sano K, Lebwohl B et al (2003) Changing presentation of adult coeliac disease. Dig Dis Sci 48:395–398

    Article  PubMed  Google Scholar 

  6. 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

    Article  PubMed  CAS  Google Scholar 

  7. 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

    Article  PubMed  Google Scholar 

  8. 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

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ayan Basu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12288-014-0331-2

Keywords

Navigation