title: Celiac disease associated with autoimmune hepatitis and autoimmune hyperthyroidism.
abstract: Although celiac disease (CD) may occur in patients with other immune-mediated disorders, its coexistence with multiple autoimmune diseases is not frequently described. We report the case of a 23-year-old woman referred to our centre because of jaundice and diarrhoea, who was diagnosed with CD in childhood. She complied with a gluten-free diet until puberty. Laboratory tests and liver biopsy were performed to establish the diagnosis of autoimmune hepatitis. Her thyroid- specific peroxides levels and thyroid gland function tests were altered as well, indicating the presence of an autoimmune disorder of the thyroid gland. Immunosuppressive treatment led to normalization of transaminases levels and bilirubin. In conclusion, other autoimmune diseases should be ruled out in patients with CD.
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, University Hospital Rijeka, Rijeka, Croatia.
authors.forename: Sandra
authors.initials: S
authors.lastname: Milić
authors.forename: Ivana
authors.initials: I
authors.lastname: Mikolašević
authors.forename: Brankica
authors.initials: B
authors.lastname: Mijandrušić-Sinčić
authors.forename: Zlatko
authors.initials: Z
authors.lastname: Bulić
authors.forename: Vanja
authors.initials: V
authors.lastname: Giljača
authors.forename: Davor
authors.initials: D
authors.lastname: Štimac
mesh_terms: D002446:Celiac Disease; D003967:Diarrhea; D019693:Hepatitis, Autoimmune; D006801:Humans; D006980:Hyperthyroidism