Dilated cardiomyopathy associated with celiac disease: A case report

Salma Elnour, Maram Hashim, Halah Ibrahim

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


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, type 1 diabetes mellitus, thyroid disease, and connective tissue disorders, but is rarely associated with cardiomyopathy.Case presentation: Our case describes a 33-year-old woman, who presented with exertional dyspnea and fatigue, and was diagnosed with 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.

Original languageBritish English
Article numbere04990
JournalClinical Case Reports
Issue number11
StatePublished - Nov 2021


  • case report
  • celiac disease
  • dilated cardiomyopathy
  • gluten-free diet
  • hypothyroidism
  • iron deficiency anemia


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