Atypical presentation of coeliac disease

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Abstract
Introduction Adult coeliac disease is usually associated with a presentation of weight loss, diarrhoea, and malabsorption of nutrients. We are now seeing, however, increased numbers of silent, or subclinical, cases, which are often picked up by the finding of an unexplained anaemia.1 Despite this change, few clinicians would expect obesity to be part of the presentation. Here we describe four cases that show that we should not be dissuaded from a potential diagnosis of coeliac disease on the basis of a patient's body weight. This is especially pertinent in today's society, where 22% of men and 23% of woman in the United Kingdom are now obese (body mass index > 30).2

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