[Recurrent tetany as the first symptom of late manifesting celiac disease]

The diagnostic classification of a malabsorption is often made more difficult, particularly in oligosymptomatic forms.

A female patient is presented, where the diagnosis of malabsorption syndrome was concluded because of recurring tetanias. This could be traced back to an oligosymptomatic celiac disease. Diagnostic course of action, differential diagnosis as well as further observation during therapy are discussed.

Oligosymptomatic developments of celiac disease are common amongst adults and present a diagnostic challenge. The existence of a malabsorption should be considered, even if the momentary individual symptoms are unclarified.