Celiac disease, also known as gluten-sensitive enteropathy, is a chronic systemic autoimmune genetically predisposing disease with a wide diverse range of intestinal and extra-intestinal manifestations triggered by dietary gluten ingestion. Celiac crisis is a rare manifestation of celiac disease but is considered a life-threatening condition and medical emergency in which patients with celiac disease have profuse diarrhea and severe metabolic disturbances. In this article, we are reporting two patients presented with diarrhea, electrolyte disturbance, and a picture of dehydration. They were diagnosed with a celiac crisis. Our aim from this article is to improve the awareness of physicians about the celiac crisis and facilitate its diagnosis and management. A high index of suspicion is needed among clinicians regarding these atypical and very rare presentations.
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