I report a case of celiac disease which progressed to celiac crisis in a 18 year old boy with type 1 diabetes, hypothyroidism, autism, schizophrenia along with behavioral disturbances. Coeliac crisis is a serious and life-threatening complication with ndings of ECG changes due to electrolyte imbalance, diarrhea, weight loss, severe dehydration, neurological symptoms, raised creatinine, metabolic acidosis, hypoalbuminemia. Higher incidence of coeliac disease associated with human leucocyte antigen HLA-DQ2 and HLA-DQ8. Celiac disease was conrmed with the help of duodenal biopsy and patent started with TPN and advised gluten and lactose free diet. Patent condition improved slowly and was discharged after he achieved his baseline status.
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Ramya Mandapalli (2024) studied this question.
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