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Previous Volume 344:1950-1951 June 21, 2001 Number 25 Next

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To the Editor: A recent Case Record (Feb. 15 issue)¹ highlighted the importance of considering celiac disease in an adult with iron deficiency. It is usual in Australia for a small-bowel biopsy to be performed in patients with iron deficiency, and had this practice been followed in the case reported, many investigations might have been avoided.

Celiac disease is underdiagnosed chiefly because many adults with the disease exhibit few of the classic symptoms associated with untreated celiac disease — weight loss, steatorrhea, and a deficiency of folate, iron, or both. In parts of the world populated by descendants of northern . . . [Full Text of this Article]

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