Uncovering the link between celiac disease and hypopituitarism: a case report and review of literature

Abstract Background Celiac disease, an autoimmune condition triggered by gluten-containing diet, is known to primarily manifest as intestinal symptoms, but can also lead to extraintestinal complications, including endocrine abnormalities and autoimmune disorders. This case report outlines a patient...

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Main Authors: Hameed Haidar Khan, Imran Ullah, Javeria Rufaq, Qaiser Wadood, Imad Majeed, Salman Khan
Format: Article
Language:English
Published: SpringerOpen 2023-08-01
Series:The Egyptian Journal of Internal Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43162-023-00246-9
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author Hameed Haidar Khan
Imran Ullah
Javeria Rufaq
Qaiser Wadood
Imad Majeed
Salman Khan
author_facet Hameed Haidar Khan
Imran Ullah
Javeria Rufaq
Qaiser Wadood
Imad Majeed
Salman Khan
author_sort Hameed Haidar Khan
collection DOAJ
description Abstract Background Celiac disease, an autoimmune condition triggered by gluten-containing diet, is known to primarily manifest as intestinal symptoms, but can also lead to extraintestinal complications, including endocrine abnormalities and autoimmune disorders. This case report outlines a patient with celiac disease who developed hypopituitarism and explores the possible pathophysiological links between these two conditions. Case presentation We report a case of a 19-year-old female who presented with lethargy, weakness, delayed menarche, and failure to thrive. Subsequent investigations revealed microcytic anemia with decreased serum ferritin and vitamin D levels. Following the identification of abnormal bone age on X-ray, a hormonal profile was requested which revealed panhypopituitarism. After undergoing a diagnostic workup for her gastrointestinal symptoms, she was eventually diagnosed with celiac disease, and her symptoms improved significantly following gluten restriction. Conclusion Panhypopituitarism has a possible association with celiac disease, and this case highlights the importance of close monitoring and appropriate management to prevent long-term health consequences. Additional research is necessary to gain a comprehensive understanding of the link between celiac disease and endocrine disorders.
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spelling doaj.art-36b16698996a4d0a9eeaa2eb1df48ec62023-11-26T14:17:49ZengSpringerOpenThe Egyptian Journal of Internal Medicine2090-90982023-08-013511410.1186/s43162-023-00246-9Uncovering the link between celiac disease and hypopituitarism: a case report and review of literatureHameed Haidar Khan0Imran Ullah1Javeria Rufaq2Qaiser Wadood3Imad Majeed4Salman Khan5Khyber Teaching HospitalKhyber Teaching HospitalSir Ganga Ram HospitalKhyber Teaching HospitalKhyber Teaching HospitalKhyber Teaching HospitalAbstract Background Celiac disease, an autoimmune condition triggered by gluten-containing diet, is known to primarily manifest as intestinal symptoms, but can also lead to extraintestinal complications, including endocrine abnormalities and autoimmune disorders. This case report outlines a patient with celiac disease who developed hypopituitarism and explores the possible pathophysiological links between these two conditions. Case presentation We report a case of a 19-year-old female who presented with lethargy, weakness, delayed menarche, and failure to thrive. Subsequent investigations revealed microcytic anemia with decreased serum ferritin and vitamin D levels. Following the identification of abnormal bone age on X-ray, a hormonal profile was requested which revealed panhypopituitarism. After undergoing a diagnostic workup for her gastrointestinal symptoms, she was eventually diagnosed with celiac disease, and her symptoms improved significantly following gluten restriction. Conclusion Panhypopituitarism has a possible association with celiac disease, and this case highlights the importance of close monitoring and appropriate management to prevent long-term health consequences. Additional research is necessary to gain a comprehensive understanding of the link between celiac disease and endocrine disorders.https://doi.org/10.1186/s43162-023-00246-9Celiac diseaseCoeliac diseasePanhypopituitarismHypopituitarismAutoimmune hypopituitarismHypophysitis
spellingShingle Hameed Haidar Khan
Imran Ullah
Javeria Rufaq
Qaiser Wadood
Imad Majeed
Salman Khan
Uncovering the link between celiac disease and hypopituitarism: a case report and review of literature
The Egyptian Journal of Internal Medicine
Celiac disease
Coeliac disease
Panhypopituitarism
Hypopituitarism
Autoimmune hypopituitarism
Hypophysitis
title Uncovering the link between celiac disease and hypopituitarism: a case report and review of literature
title_full Uncovering the link between celiac disease and hypopituitarism: a case report and review of literature
title_fullStr Uncovering the link between celiac disease and hypopituitarism: a case report and review of literature
title_full_unstemmed Uncovering the link between celiac disease and hypopituitarism: a case report and review of literature
title_short Uncovering the link between celiac disease and hypopituitarism: a case report and review of literature
title_sort uncovering the link between celiac disease and hypopituitarism a case report and review of literature
topic Celiac disease
Coeliac disease
Panhypopituitarism
Hypopituitarism
Autoimmune hypopituitarism
Hypophysitis
url https://doi.org/10.1186/s43162-023-00246-9
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