title: Rare association of coeliac disease with aplastic anaemia: report of a case from India.
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.
authors.affiliation: Department of Tropical Medicine, Calcutta School of Tropical Medicine, Kolkata, India ; 46/27A, Becharam Chatterjee Road, Behala, Kolkata, West Bengal 700034 India.
authors.forename: Ayan
authors.initials: A
authors.lastname: Basu
authors.affiliation: Department of Tropical Medicine, Calcutta School of Tropical Medicine, Kolkata, India.
authors.forename: Yogiraj
authors.initials: Y
authors.lastname: Ray
authors.affiliation: Department of Tropical Medicine, Calcutta School of Tropical Medicine, Kolkata, India.
authors.forename: Pratik
authors.initials: P
authors.lastname: Bowmik
authors.affiliation: Department of Tropical Medicine, Calcutta School of Tropical Medicine, Kolkata, India.
authors.forename: Mehebubar
authors.initials: M
authors.lastname: Rahman
authors.affiliation: Department of Haematology, Calcutta School of Tropical Medicine, Kolkata, India.
authors.forename: Nidhi
authors.initials: N
authors.lastname: Dikshit
authors.affiliation: Department of Tropical Medicine, Calcutta School of Tropical Medicine, Kolkata, India ; Department of Haematology, Calcutta School of Tropical Medicine, Kolkata, India.
authors.forename: Rama Prosad
authors.initials: RP
authors.lastname: Goswami
keywords: Aplastic Anaemia; Coeliac disease; India