Editor's Correspondence |

Celiac Disease and Osteoporosis

Robert Hoyt, MD
Arch Intern Med. 2005;165(16):1922-1923. doi:10.1001/archinte.165.16.1922-b.
Text Size: A A A
Published online


The article by Stenson et al1 determined that the prevalence of celiac disease in their bone clinic was 3.4% compared with 0.2% in nonosteoporotic control patients after screening tests. One of the tests was the 25-hydroxyvitamin D level, and in Table 31(p395) the authors state the normal range to be 0 to 55 ng/mL (0-137.3 nmol/L) but provide no references. Although the lower limit of normal for 25-hydroxyvitamin D is controversial, several references2,3 use 12 to 15 ng/mL (30.0-37.4 nmol/L) as the lower limit of normal. Of the 9 patients found to have celiac disease, 6 had levels of 15 ng/mL or lower (≤37.4 nmol/L), suggesting possible 25-hydroxyvitamin D deficiency. What percentage of the control group had levels of 15 ng/mL or lower (≤37.4 nmol/L)? Urinary calcium levels would have been interesting but remain controversial in the workup of secondary osteoporosis.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
The neurobiology of skeletal pain. Eur J Neurosci 2014;39(3):508-19.
B-vitamins and bone in health and disease: the current evidence. Proc Nutr Soc Published online Feb 26, 2014.;

Users' Guides to the Medical Literature

Users' Guides to the Medical Literature
A trial of sodium fluoride as secondary prevention against osteoporosis in postmenopausal women...