Abstract
Celiac disease is an immune-mediated condition triggered by exposure to gluten in dietary products (such as wheat, rye, oats, and barley) in genetically predisposed individuals. It could present in different ways with classic symptoms of abdominal pain, diarrhea, bloating, or non-classic symptoms of anemia and neurological disturbances, including tetany. In rare cases, tetany can be an initial presentation of celiac disease. We report a case of a two-year-old child who presented with minimal gastrointestinal symptoms and finger pain and was eventually diagnosed with celiac disease. Interestingly, in this case, the patient remained symptom-free after implementing some dietary adjustments, supplements, and strict adherence to a gluten-free diet. Due to the asymptomatic and subtle nature of the disease, careful screening and detailed history-taking play a crucial role in facilitating prompt diagnosis and early treatment, thereby promoting a child's healthy lifestyle.