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Abstract
Background: Celiac
disease mainly presents with
gastrointestinal symptoms,
but atypical presentations,
including liver dysfunction,
are increasingly recognized.
Case
Presentation: We report
the case of a 49-year-old
asymptomatic healthy gentleman,
having mildly elevated cholesterol
managed through healthy lifestyle.
He had no history of alcohol
or drugs intake and a negative
family history of Celiac or
liver disease. Patient was
incidentally found to have
markedly elevated liver transaminases
on routine blood tests. Subsequent
detailed workup for elevated
liver transaminases including
Celiac serology was normal.
Conclusion:
Celiac disease must be considered
in the differential diagnosis
of the patients with unexplained
liver enzyme abnormalities
without gastrointestinal symptoms
and negative serological tests.
Keywords: Celiac disease
(CD), Seronegative Celiac
disease (SNCD), Liver enzymes,
Gluten-free diet
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