Celiac disease

A 17 year old female, presented with complaint of vomiting, weakness and lethargy since one week. She had history of leg deformities and protruded chest since age three. There was also a history of progressive weight loss and growth retardation.On examination, she was anemic [Hb. 3.2g/dl] with protruded eyes, short stature and pigeon chest deformity. Serum calcium and albumin were decreased and serum globulins were increased. Tissue Trans Glutaminase[TTG] antibodies were elevated. Duodenal biopsy revealed features consistent with celiac sprue