Diagnosing celiac disease by two distinct nail signs in patients with Hashimoto’s thyroiditis: Case series

Celiac disease is associated with other autoimmune disorders including autoimmune hypothyroidism. Celiac disease should be considered in those with refractory hypothyroidism as it may affect levothyroxine absorption. The author reports two cases of refractory hypothyroidism secondary to celiac disease in which examination of the hands revealed two distinct clinical signs that provided clues to the diagnosis