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Her haematological and biochemical profile including liver screen did not reveal any abnormalities. Her anti-endomyseal antibody and duodenal biopsies were consistent with the diagnosis of coeliac disease. Her LFT returned to normal within 3 months of starting on a gluten-free diet and remained normal over the next 12 months. She also remained free of mouth ulcers during this period.<\/jats:p>","DOI":"10.1136\/bcr.06.2008.0169","type":"journal-article","created":{"date-parts":[[2009,2,2]],"date-time":"2009-02-02T06:49:47Z","timestamp":1233557387000},"page":"bcr0620080169","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Is an atypical presentation becoming typical of coeliac disease?"],"prefix":"10.1136","volume":"2009","author":[{"given":"Krishna Prakash","family":"Basavaraju","sequence":"first","affiliation":[{"name":"St Thomas\u2019 Hospital, Gastroenterology, London, SE1 7EH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadeem","family":"Rahman","sequence":"additional","affiliation":[{"name":"Conquest Hospital, Gastroenterology, St Leonard\u2019s on Sea, Hastings, TN37 7RD, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A J","family":"Neal","sequence":"additional","affiliation":[{"name":"East Sussex Hospitals, Gastroenterology, Eastbourne, BN21 2UD, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,8,9]]},"reference":[{"key":"2025082802443589000_2009.aug09_1.bcr0620080169.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra071600"},{"key":"2025082802443589000_2009.aug09_1.bcr0620080169.2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2036.2003.01782.x"},{"key":"2025082802443589000_2009.aug09_1.bcr0620080169.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(77)90954-0"},{"key":"2025082802443589000_2009.aug09_1.bcr0620080169.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2005.02361.x"},{"key":"2025082802443589000_2009.aug09_1.bcr0620080169.5","doi-asserted-by":"publisher","DOI":"10.1053\/gast.2002.32416"},{"key":"2025082802443589000_2009.aug09_1.bcr0620080169.6","doi-asserted-by":"publisher","DOI":"10.1002\/hep.21949"},{"key":"2025082802443589000_2009.aug09_1.bcr0620080169.7","doi-asserted-by":"publisher","DOI":"10.1016\/0270-9139(95)90305-4"},{"key":"2025082802443589000_2009.aug09_1.bcr0620080169.8","doi-asserted-by":"publisher","DOI":"10.1136\/gut.42.1.120"},{"key":"2025082802443589000_2009.aug09_1.bcr0620080169.9","doi-asserted-by":"publisher","DOI":"10.1016\/S1542-3565(03)00313-6"},{"key":"2025082802443589000_2009.aug09_1.bcr0620080169.10","doi-asserted-by":"publisher","DOI":"10.1097\/00005176-200109000-00019"},{"key":"2025082802443589000_2009.aug09_1.bcr0620080169.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(05)83430-4"},{"key":"2025082802443589000_2009.aug09_1.bcr0620080169.12","first-page":"45","article-title":"Obesity in a child with untreated coeliac disease","volume":"42","author":"Nibali","year":"1987","journal-title":"Helv Paediatr Acta"},{"key":"2025082802443589000_2009.aug09_1.bcr0620080169.13","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.330.7494.773"},{"key":"2025082802443589000_2009.aug09_1.bcr0620080169.14","doi-asserted-by":"publisher","DOI":"10.1097\/00005176-200102000-00031"},{"key":"2025082802443589000_2009.aug09_1.bcr0620080169.15","doi-asserted-by":"crossref","first-page":"1290","DOI":"10.1136\/bmj.317.7168.1290","article-title":"Prospective study of body mass index in patients with coeliac disease","volume":"317","author":"Dickey","year":"1998","journal-title":"BMJ"},{"key":"2025082802443589000_2009.aug09_1.bcr0620080169.16","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1016\/j.cgh.2007.12.022","article-title":"Incidence of autoimmune diseases in celiac disease:protective effect of the gluten-free diet","volume":"8","author":"Cosnes","year":"2008","journal-title":"Clin Gastroenterol Hepatol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.06.2008.0169","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:44:41Z","timestamp":1756374281000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.06.2008.0169"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,9]]},"references-count":16,"alternative-id":["10.1136\/bcr.06.2008.0169"],"URL":"https:\/\/doi.org\/10.1136\/bcr.06.2008.0169","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,8,9]]}}}