Resistance to Vitamin D Treatment as an Indication of Celiac Disease in a Patient with Primary Hypoparathyroidism

Prevalence of coeliac disease in idiopathic hypoparathyroidism and effect of gluten‐free diet on calcaemic control

“…A gluten‐free diet led to improvement in weight and calcium control during follow‐up in both patients. A careful perusal of the previously reported cases (Table ) also showed an improvement in calcium control with a gluten‐free diet in patients with hypoparathyroidism and coeliac disease . In fact, in some cases, hypercalcaemia was noted after the institution of a gluten‐free diet, necessitating a reduction in the daily dose of calcium and vitamin D therapy …”

“…A careful perusal of the previously reported cases (Table 3) also showed an improvement in calcium control with a gluten-free diet in patients with hypoparathyroidism and coeliac disease. 11,16,21,23 In fact, in some cases, hypercalcaemia was noted after the institution of a gluten-free diet, necessitating a reduction in the daily dose of calcium and vitamin D therapy. 13,22 The strength of the present study was investigation of a clinically relevant problem related to the prevalence of coeliac disease in a large cohort of patients with IH.…”

“…9 Information on the association between coeliac disease and IH is scarce and is based on observations in isolated patients. [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] In the present study, we systematically assessed a large cohort of patients with IH for the prevalence of coeliac disease-related tissue transglutaminase autoantibodies (anti-tTGAbs) and endomysial autoantibodies (EMAs) and studied the effect of a gluten-free diet in the affected patients on calcaemic control.…”