Osteoporosis reversibility in a patient with celiac disease and primary autoimmune hypothyroidism on gluten free diet: A case report | Zendy

Branka Kovačev-Zavišić | Zendy; Tijana Ičin | Zendy; Jovanka Novaković-Paro | Zendy; Milica MedicStojanoska | Zendy; Ivana Bajkin | Zendy

Open Access

Osteoporosis reversibility in a patient with celiac disease and primary autoimmune hypothyroidism on gluten free diet: A case report

Author(s) -

Branka Kovačev-Zavišić,

Tijana Ičin,

Jovanka Novaković-Paro,

Milica MedicStojanoska,

Ivana Bajkin

Publication year - 2015

Publication title -

vojnosanitetski pregled

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.123

H-Index - 19

eISSN - 2406-0720

pISSN - 0042-8450

DOI - 10.2298/vsp1501072k

Subject(s) - medicine , levothyroxine , osteoporosis , gluten free , disease , vitamin d and neurology , primary hyperparathyroidism , bone resorption , gastroenterology , pediatrics , thyroid

Secondary osteoporosis occurs in many diseases. Celiac disease-induced osteoporosis is the consequence of secondary hyperparathyroidism. Biochemical bone markers show predominance of bone resorption, thus making the bisphosphonates the first line therapy option. Intestinal mucosal changes are reversible on gluten-free diet. Osteoporosis reversibility is also possible, provided postmenopausal osteoporosis risk factors independent from celiac disease are not present.

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