title: [Adult celiac disease with secondary hyperparathyroidism].
abstract: After a pregnancy the 26-year-old patient complained of pain in several joints. Waddling gait and light-grey excrements were conspicuous. Radiologically signs of calcium salt reduction with hank-like bone structures in both forearms. Hypocalcaemia, hyperphosphataemia, parthormone in the serum increased. Villi could not be proved by aspiration biopsy in the small intestine. The bone biopsy spoke for a secondary hyperparathyroidism. By glutene-free nutrition the patient was without pain after several months and was able to go without hindrance after one year.
mesh_terms: D000328:Adult; D001706:Biopsy; D002446:Celiac Disease / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000473:pathology*; D007085:Ilium / Q000473:pathology; D007413:Intestinal Mucosa / Q000473:pathology
vernacular_title: Erwachsenen-Zöliakie mit sekundärem Hyperparathyreoidismus.