DOI: 10.12890/2023_003977

Deep vein thrombosis revealing a "silent" coeliac disease

Authors

  • Sofia Miranda Internal Medicine Department, Hospital do Divino Espírito Santo, Ponta Delgada, Portugal
  • Patrícia Clara Internal Medicine Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, Portugal
  • Joana Rua Internal Medicine Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, Portugal
  • Miriam Cimbron Internal Medicine Department, Hospital do Divino Espírito Santo, Ponta Delgada, Portugal
  • Fernando Salvador Internal Medicine Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, Portugal

sofiairmiranda@gmail.com

Keywords

Venous thromboembolism, coeliac disease

Abstract

Introduction: We present a clinical case of a 45-year-old man with recurrent deep vein thrombosis (DVT) and multiple hospital admissions due to severe infectious conditions. A newfound hypoalbuminemia raised the suspicion of a protein-losing condition, with an upper endoscopy revealing lesions at the D2 level compatible with coeliac sprue and HLA typing positive for both DQ-2 and DQ-8.
Methods: A gluten free diet was started and apixaban was suspended.
Results: No new complications were reported.
Discussion: Multiple mechanisms are believed to be behind the association between DVT and coeliac disease. However, to this date, no consensus exists regarding the ideal duration of anticoagulation.

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References

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Published

2023-08-18

Issue

Vol. 10 No. 9 (2023)

Categories

How to Cite

1.
Miranda S, Clara P, Rua J, Cimbron M, Salvador F. Deep vein thrombosis revealing a "silent" coeliac disease. EJCRIM [Internet]. 2023 Aug. 18 [cited 2026 Nov. 3];10(9). Available from: https://ejcrim.com/index.php/ejcrim/article/view/3977

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