{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T07:45:52Z","timestamp":1792136752286,"version":"4.4.0"},"reference-count":8,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JPGN rep."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Celiac disease (CD) is an immune\u2010mediated disorder triggered by gluten in genetically susceptible individuals. Although iron deficiency anemia is a common presentation, other micronutrient deficiencies may occur. We describe a 3.5\u2010year\u2010old female whose initial presentation of CD was severe, asymptomatic normocytic anemia secondary to copper (Cu) deficiency. She presented with mild abdominal symptoms, weight loss, and profound anemia (hemoglobin as low as 1.6\u2009g\/dL) requiring transfusions. Extensive infectious, inflammatory, hematologic, and oncologic evaluations were unrevealing. Workup demonstrated markedly elevated celiac serologies and low serum Cu. Endoscopy confirmed Marsh 3B duodenal changes consistent with CD. Treatment with a strict gluten\u2010free diet and Cu supplementation led to normalization of hemoglobin, Cu levels, and growth parameters. This case highlights Cu deficiency\u2013associated anemia as a rare pediatric presentation of CD and underscores the importance of considering CD in severe unexplained anemia with micronutrient deficiencies.<\/jats:p>","DOI":"10.1002\/jpr3.70251","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T06:54:48Z","timestamp":1792133688000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["More than just anemia: Uncovering celiac disease beneath the surface: A case report"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7649-2171","authenticated-orcid":false,"given":"Evan","family":"Greenhall","sequence":"first","affiliation":[{"name":"Division of Pediatric Gastroenterology, Phoenix Children's Hospital Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bri","family":"Best","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Phoenix Children's Hospital Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4654-345X","authenticated-orcid":false,"given":"David F.","family":"Carpenteri","sequence":"additional","affiliation":[{"name":"Department of Biorepository and Research Phoenix Children's Hospital Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6042-1865","authenticated-orcid":false,"given":"Paula","family":"Prieto\u2010Tizzard","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Phoenix Children's Hospital Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Pediatric Gastrointestinal and Liver Disease","author":"Wyllie 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Nutr"},{"issue":"12","key":"e_1_2_8_9_1","doi-asserted-by":"crossref","first-page":"1793","DOI":"10.1016\/j.jand.2023.07.018","article-title":"Celiac disease: an academy of nutrition and dietetics evidence\u2010based nutrition practice guideline","volume":"123","author":"McDermid JM","year":"2023","journal-title":"J Acad Nutr Diet"}],"container-title":["JPGN 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