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Letter
Coeliac disease associated with systemic sclerosis
  1. J A Gómez-Puerta1,
  2. V Gil1,
  3. R Cervera1,
  4. R Miquel2,
  5. S Jiménez1,
  6. M Ramos-Casals1,
  7. J Font1
  1. 1Department of Autoimmune Diseases, Hospital Clininc, Barcelona, Catalonia, Spain
  2. 2Department of Pathology, Hospital Clínic, Barcelona, Catalonia, Spain
  1. Correspondence to:
    Dr R Cervera
    Servei de Malalties Autoimmunes, Hospital Clínic, Villarroel 170, 08036-Barcelona, Catalonia, Spain; rcerveraclinic.ub.es

https://doi.org/10.1136/ard.2003.008888

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    Systemic sclerosis (SSc) is a clinically heterogeneous disorder which affects the skin and internal organs such as the gastrointestinal tract, lungs, heart, and kidneys. Small bowel disease can present with a wide variety of symptoms, including intermittent bloating, abdominal cramps, chronic diarrhoea and, in a minority of patients, malabsorption.1 Coeliac disease (CD) is a malabsorptive disorder resulting from inflammatory injury to the mucosa of the small intestine after the ingestion of wheat gluten. As CD has an immunological basis, an association between CD and other autoimmune disorders, such as type 1 diabetes mellitus and autoimmune thyroiditis, is not uncommon.2,3 We describe here a patient with SSc and insulin dependent diabetes mellitus in whom a diagnosis of CD was made at the age of 49. …

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