Enteropathy-associated T cell lymphoma as a complication of silent celiac disease

Celiac disease is an autoimmune disorder in which a genetic predisposition and the ingestion of wheat gluten triggers a deleterious immune response. This response is complex and may lead to manifestations other than enteropathyha: hepatitis, dermatitis and neuropathy. There is higher risk for neopla...

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Main Authors: Margarida Dantas Brito, Ângelo Martins, Rui Henrique, José Mariz
Format: Article
Language:English
Published: MDPI AG 2014-12-01
Series:Hematology Reports
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/hr/article/view/5612
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author Margarida Dantas Brito
Ângelo Martins
Rui Henrique
José Mariz
author_facet Margarida Dantas Brito
Ângelo Martins
Rui Henrique
José Mariz
author_sort Margarida Dantas Brito
collection DOAJ
description Celiac disease is an autoimmune disorder in which a genetic predisposition and the ingestion of wheat gluten triggers a deleterious immune response. This response is complex and may lead to manifestations other than enteropathyha: hepatitis, dermatitis and neuropathy. There is higher risk for neoplasia. We observed an atypical case, corresponding to a 69-year old female presenting with complicated celiac disease. The patient was referred following the histological examination of an enterectomy specimen, which unexpectedly revealed an enteropathy-associated T cell lymphoma in a background of celiac disease. Patient’s previous medical history comprised several abdominal surgical procedures, without other prior symptoms suggestive of celiac disease. Indeed, the patient was obese and no signs of malabsortion were apparent. This case draws our attention to clinically silent celiac disease, which represents a diagnostic challenge. Thus, this should be kept in mind whenever a patient presents with abdominal relapsing complications, otherwise unexplained.
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spelling doaj.art-75304767478548eb8ca179dba05762472023-02-02T05:05:40ZengMDPI AGHematology Reports2038-83222038-83302014-12-016410.4081/hr.2014.56122968Enteropathy-associated T cell lymphoma as a complication of silent celiac diseaseMargarida Dantas Brito0Ângelo Martins1Rui Henrique2José Mariz3Department of Hematology, Portuguese Institute of Oncology of PortoDepartment of Hematology, Portuguese Institute of Oncology of PortoDepartment of Pathology, Portuguese Institute of Oncology of PortoDepartment of Hematology, Portuguese Institute of Oncology of PortoCeliac disease is an autoimmune disorder in which a genetic predisposition and the ingestion of wheat gluten triggers a deleterious immune response. This response is complex and may lead to manifestations other than enteropathyha: hepatitis, dermatitis and neuropathy. There is higher risk for neoplasia. We observed an atypical case, corresponding to a 69-year old female presenting with complicated celiac disease. The patient was referred following the histological examination of an enterectomy specimen, which unexpectedly revealed an enteropathy-associated T cell lymphoma in a background of celiac disease. Patient’s previous medical history comprised several abdominal surgical procedures, without other prior symptoms suggestive of celiac disease. Indeed, the patient was obese and no signs of malabsortion were apparent. This case draws our attention to clinically silent celiac disease, which represents a diagnostic challenge. Thus, this should be kept in mind whenever a patient presents with abdominal relapsing complications, otherwise unexplained.http://www.pagepress.org/journals/index.php/hr/article/view/5612lymphoma, celiac disease, elderly
spellingShingle Margarida Dantas Brito
Ângelo Martins
Rui Henrique
José Mariz
Enteropathy-associated T cell lymphoma as a complication of silent celiac disease
Hematology Reports
lymphoma, celiac disease, elderly
title Enteropathy-associated T cell lymphoma as a complication of silent celiac disease
title_full Enteropathy-associated T cell lymphoma as a complication of silent celiac disease
title_fullStr Enteropathy-associated T cell lymphoma as a complication of silent celiac disease
title_full_unstemmed Enteropathy-associated T cell lymphoma as a complication of silent celiac disease
title_short Enteropathy-associated T cell lymphoma as a complication of silent celiac disease
title_sort enteropathy associated t cell lymphoma as a complication of silent celiac disease
topic lymphoma, celiac disease, elderly
url http://www.pagepress.org/journals/index.php/hr/article/view/5612
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