Objective: Anorexia nervosa (AN) has been reported to be associated with se
veral chronic medical illnesses. In this study, we report two cases of wome
n suffering from AN and celiac disease. The former received the diagnosis o
f celiac disease before the onset of the eating disorder. For the latter, t
he diagnosis of celiac disease followed that of AN. Authors discuss the com
plex relationships between celiac disease and AN. They suggest that in the
first case the dietary restriction could act as a trigger for the eating di
sorder, whereas in the second case, the onset of celiac disease could have
exacerbated the clinical symptoms of AN. (C) 2000 by John Wiley & Sons, Inc
.