Issue: 2019 > March > case report

Macroscopic hematuria as presenting symptom of celiac disease

C. Duetz, I. Houtenbos, C.L.M. de Roij van Zuijdewijn
AbstractFull textPDF


A 47-year old man was admitted for macroscopic hematuria and spontaneous hematomas. Laboratory results showed a prolonged partial thromboplastin time (PTT), a prolonged activated partial thromboplastin time (APTT) and a severe vitamin K deficiency. The underlying cause proved to be vitamin K malabsorption due to previously undiagnosed celiac disease, possibly provoked by oral antibiotic administration.