Adult celiac disease with secondary hyperparathyroidism

: After a pregnancy the 26-year-old patient complained of pain in several joints. Waddling gait and light-grey excrements were conspicuous. Radiologically signs of calcium salt reduction with hank-like bone structures in both forearms. Hypocalcaemia, hyperphosphataemia, parthormone in the serum increased. Villi could not be proved by aspiration biopsy in the small intestine. The bone biopsy spoke for a secondary hyperparathyroidism. By glutene-free nutrition the patient was without pain after several months and was able to go without hindrance after one year.