Objective. To present a case of a female patient with concurrent exacerbations of both celiac disease and paranoid schizophrenia.
Case report. The patient, 52-year-old woman, was recurrently hospitalized for paranoid schizophrenia. During her recent admission celiac disease was diagnosed. In the course of her treatment intermittent psychotic aggravation, disorganized activity, autistic behavior exacerbation associated with persistent gastrointestinal disturbances including diarrhea, steatorrhea, weight loss, constant hyponatremia, and anemia were seen. The patient's celiac disease was confirmed by small intestine biopsy.
Commentary. A putative relationship between celiac disease and mental disorders was described in the literature. To check this possibility, psychiatric patients with gastrointestinal symptoms should undergo a thorough medical evaluation in consultation with an internist.