Respiratory Symptoms as Atypical Manifestation of Celiac Disease

Atypical presentations of celiac disease are well recognised but respiratory symptoms as a manifestation are rare. A 6 years old girl presented with recurrent respiratory tract infections and bronchiectasis along with intermittent altered bowel habits. Serology, duodenal biopsy and bronchoalveolar lavage showing lymphocytic bronchoalveolitis narrowed the diagnosis to celiac disease. Dramatic improvement was observed in both the respiratory and gastrointestinal manifestations following gluten free diet.