Celiac disease (CD) is Gluten sensitive enteropathy with a wide spectrum of severity and protean clinical manifestations. Patients with atypical (non-diarrhoeal) presentations are missed as the diagnosis of Celiac Disease is not considered. We present three young girls (ages 18, 19, 23 at presentation) who were admitted to our hospital as intractable seizures. All had low serum calcium, feature...

An elderly woman developed severe hyperphosphataemia, hypocalcaemia, and cardiac arrest after oral administration of sodium phosphate in preparation for colonoscopy. This is an unusual complication and is attributed to decreased phosphate excretion by the kidneys. At increased risk are patients with impaired renal function, age more than 65 years, and presenting with intestinal obstruction or d...

iron-storage disease, malignant disease, and a history of neck surgery or irradiation. Bone biopsy was not performed in either case because of the absence of any biochemical or radiological evidence of osteomalacia. Our first case is the oldest known patient to present with this disorder, the oldest described elsewhere being an 80-year-old man who presented with confusion.4 Little is known abou...

Proton pump inhibitor (PPI)-induced hypomagnesaemia is a rare but serious adverse effect of a widely prescribed medication. It has become an increasingly recognised complication since 2006, with the U.S. Food and Drug Administration issuing a warning for this risk with regards to long-term PPI use. We present the case of PPI-associated hypomagnesaemia and hypocalcaemia. A 91 year old male prese...

For many years birth trauma has been stated to be the commonest cause of neonatal convulsions; there have, however, been few prospective studies to support this view. In 1954 Burke studied 46 infants who had had convulsions in the first 2 weeks of life; in 70% of the series she found birth trauma or anoxia during birth to have been the likely cause of the fit, and over a third of the infants co...

Accepted 9 July 1997 A 35-year-old man was admitted to the infectious ward with complaints of loose motions and vomiting four to five times a day and generalised stiffness with severe muscle cramps four hours prior to admission. On examination he had tachycardia, a blood pressure of 90/60 mmHg, cold extremities and a dry tongue suggestive of moderate dehydration. He was conscious, well oriented...