Celiac crisis in adults: a case report and review of the literature focusing in the prevention of refeeding syndrome.

Introduction: Celiac crisis is a life-threatening complication of celiac disease that is rarely described in adults.

Case Report: We report the case of a 31-year-old man with celiac crisis as a first manifestation of celiac disease. The patient presented with severe diarrhea, metabolic acidosis, and electrolyte disturbances accompanied by electrocardiographic alterations.

Rare association of celiac disease with myasthenia gravis in a patient with other immune disorders: a case report.

Background: Celiac disease is described in association with several autoimmune diseases, but rarely with myasthenia gravis.

Case Report: We describe the case of a 31-year-old white woman with celiac disease who presented manifestations related to a hyperactive immune system, including macroamylasemia, false-positive anti-HCV, positive antinuclear antibody, and Raynaud's phenomenon. The introduction of a gluten-free diet (GFD) resolved these features, but myasthenia gravis (MG) symptoms unexpectedly occurred on that occasion.