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.