Profound vitamin D deficiency in coeliac disease and pregnancy.

A 23-year-old Turkish woman with known coeliac disease presented to hospital with a fractured left femur (Figure 1 a) sustained when arising from bed. Two years prior, she sustained a fracture at the right humerus (Figure 1 b), caused by lifting the younger of her two children. Hypercalcemia was documented at the time of the first fracture, but she defaulted from follow-up. Figure 1. (a) Plain AP radiograph of the left femur demonstrates a pathological transverse fracture with full diaphyseal width medial displacement of the distal fragment. The underlying bone is abnormal with multiple lytic lesions in a background of …