Letters Adult coeliac disease

Rheumatic presentations are common

BMJ 2007; 335 doi: https://doi.org/10.1136/bmj.39346.499005.3A (Published 27 September 2007) Cite this as: BMJ 2007;335:627
  1. Alastair L Hepburn, consultant rheumatologist
  1. Worthing Hospital, Worthing BN11 2DH
  1. alnhepburn{at}doctors.org.uk

    Hopper et al highlight the non-specific way in which coeliac disease can present in adults 1. Presentations to rheumatology services are not uncommon with symptoms including fatigue, weakness, non-specific arthralgia, muscle cramps, and myalgia. A good argument therefore exists for screening for this disease when patients present with what may seem initially to be fibromyalgia or chronic fatigue …

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