Abstract

GONZALEZ-TARRIO POLO, L.; RODRIGUEZ VILLACE, C.  and  ALONSO VAL, A.. Celiac disease: diagnosis based on a patient with low back pain. Medifam [online]. 2001, vol.11, n.2, pp.97-99. ISSN 1131-5768.

Primary Health Care plays an important role in the diagnosis of oligosymptomatic Celiac Disease (CD) witch normaly exhibits symptoms that are frecuent in our daily practice. We present the case of a 41 year-old woman who was diagnosed 15 years ago an irritable bowel syndrome. She presents low back pain that gradually got worse in spite of the treatment prescribed. The blood test shows a severe osteomalacia. The reserch done along with her background point to a malabsorptive problem, leading to a CD diagnosis after the compatible duodenal biopsy and the clinical and histological improvement after gluten suppresion in the diet.

Keywords : Celiac disease; Osteomalacia; Low back pain; Primary Health Care.