Science and Education Publishing International Journal of Celiac Disease 2334-3486 3 1 2015 01 17 Two Exceptional Complications Revealing Celiac Disease: Ischemic Cardiomyopathy and Pellagra 31 32 EN Imed Ben Ghorbel Raouf Hajji Internal Medicine Department, Sidi Bouzid Regional Hospital, Sidi Bouzid, Tunisia Nabil Bel Feki Thouraya Ben Salem Mounir Lamloum Mohammed Habib Houman IJCD2015315 10.12691/ijcd-3-1-5 2015 01 11 2015 01 15 2015 01 17 Pellagra is an exceptional skin involvement in celiac disease. Ischemic cardiomyopathy is another rare event in celiac disease. Its pathogenesis remains not yet elucidated. We report a case of a 34- year old patient of presenting with pellagra and cardiomyopathy revealing a celiac disease.