Celiac disease presenting as peripheral neuropathy- A rare case report

Abstract

Celiac disease is an autoimmune disorder usually presenting with gastro-intestinal symptoms and very rarely presents as extra gastro-intestinal manifestations like peripheral neuropathy, arthritis and gluten ataxia. This is a case of an 8 year old girl, diagnosed with celiac disease who developed weakness in upper and lower limbs after she resumed gluten containing diet. Nerve conduction studies showed pure motor polyneuropathy involving all limbs with raised anti- tissue transglutaminase levels (more than 10 times of upper normal limit). Child was put on gluten free diet and symptoms improved after that. Child was still on regular follow up and doing well. Celiac disease should be kept in differential diagnosis if any child present with features of peripheral neuropathy.