Abstract
A 62-year-old Canadian Caucasian female with nonalcoholic chronic pancreatitis, diabetes, exocrine failure and pancreatic calcification presented with weight loss, diarrhea and peripheral edema. Subsequent investigations revealed celiac disease that was responsive to a gluten-free diet. Calcification in the pancreas may reflect impaired absorption with severe protein-energy malnutrition and may be the initial presenting feature of occult celiac disease.