eng Science and Education Publishing International Journal of Celiac Disease 2334-3486 2015-02-12 3 1 37 39 10.12691/ijcd-3-1-9 IJCD2015319 article Mihaela Sparchez spirchez.mihaela@umfcluj.ro 1 Alexandru P?rvan 1 2 Nicolae Miu 2 Gabriel Samasca 2 3 Bianca Simionescu 3 3 Simona Rednic 4 2nd Department of Pediatrics, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania Department of Rheumatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania The prevalence of coeliac disease (CD) in systemic lupus erythematosus (SLE) is unclear since evidence of this co -association is scarce. Furthermore, CD -specific antibodies have been described in patients with SLE without biopsy -confirmed CD. Here we describe the diagnostic challenges of CD in a patient suffering from SLE and secondary antiphospholipid syndrome, with transient positive serum levels of CD -specific antibodies, with an increased genetic risk for CD, demonstrated by HLA-DQ2 positivity. Guidance is still needed for the CD diagnosis in some atypical conditions. http://pubs.sciepub.com/ijcd/3/1/9/ijcd-3-1-9.pdf systemic lupus erythematosus children anti-tissue transglutaminase antibodies antiendomysial antibodies