[A case of resistant sideropenic anemia. Adult celiac disease]

We report a case of a woman affected by sideropenic anaemia (SA) for about thirty years and never restored with a therapy with iron per os. At the age of 60 years a malabsorption syndrome appears and an adult celiac disease was diagnosed (ACD). The SA was therefore and since the beginning the only symptom of the malabsorption. When SA is resistant to the iron per os therapy, we always should suspect a malabsorption due to CD often olygosymptomatic in the adult patient. We would now recommend, in presence of resistant SA, the weight of jejunum biopsy, as well as his excessive importance, when it shows an apparently not specific finding of mucosa atrophia with chronic phlogosis.