Abstract
Background: Celiac disease, an immune-mediated inflammation of
the small intestine, occurs in genetically predisposed individuals, and
is caused by sensitivity to dietary gluten and related proteins. The
global prevalence is approximately 1%. Celiac disease is frequently
associated with extra-intestinal manifestations, including iron
deficiency anemia, dermatologic eruptions, diabetes mellitus, thyroid
disease, and connective tissue disorders, but is rarely associated with
cardiomyopathy. Case presentation: Our case describes a 33 year
old women, who presented with exertional dyspnea and fatigue, and found
to have severe iron deficiency anemia and dilated cardiomyopathy,
secondary to celiac disease. Conclusion: High clinical
suspicion is needed to identify celiac disease in patients diagnosed
with dilated cardiomyopathy, as an improvement in cardiac function has
been reported with strict adherence to a gluten free diet.