Celiac disease and fulminant T lymphoma detected too late in a 35-year-old female patient: Case report

  • Marinko Marušić Department of gastroenterology, Clinical Hospital “Sveti Duh”, University Department of Medicine
  • Saša Gulić Department of gastroenterology, Clinical Hospital “Sveti Duh”, University Department of Medicine
  • Slavko Gašparov Department of Pathology, Clinical Hospital “Merkur”
  • Ante Bilić Department of gastroenterology, Clinical Hospital “Sveti Duh”, University Department of Medicine
  • Dragan Jurčić Department of gastroenterology, Clinical Hospital “Sveti Duh”, University Department of Medicine
  • Branimir Vučković Department of Surgery, Clinical Hospital “Sveti Duh”
  • Gabrijela Stanić Department of Pathology, Clinical Hospital “Sveti Duh”
  • Krešimir Luetić Department of gastroenterology, Clinical Hospital “Sveti Duh”
  • Anto Dominković Department of gastroenterology, Clinical Hospital “Sveti Duh”
  • Tena Sučić Department of Radiology, Clinical Hospital “Sveti Duh”
Keywords: Celiac disease, EATL (Enteropathy-associated T cell lymphoma), RCD refractory celiac disease

Abstract

Celiac disease is the most common chronic gastroenterological autoimmune disease characterized by gluten intolerance. The diagnosis of celiac disease and enteropathy-associated T cell lymphoma is often made when it is too late.

Case report describes a 35-year-old female patient managed for one year under the diagnosis of inflammatory bowel disease and admitted to our hospital for exacerbation of the underlying disease. However, inflammatory bowel disease was ruled out by diagnostic work-up, while the clinical picture and the findings obtained raised suspicion of lymphoma. The patient’s condition was additionally complicated by fulminant course of the disease and ileus.

Conclusion:Early diagnosis and appropriate treatment of the disease, and follow up of family members are crucial to prevent intestinal lymphoma development.

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Celiac disease and fulminant T lymphoma detected too late in a 35-year-old female patient: Case report
Published
2011-08-20
How to Cite
1.
Marušić M, Gulić S, Gašparov S, Bilić A, Jurčić D, Vučković B, Stanić G, Luetić K, Dominković A, Sučić T. Celiac disease and fulminant T lymphoma detected too late in a 35-year-old female patient: Case report. Bosn J of Basic Med Sci [Internet]. 2011Aug.20 [cited 2020Aug.13];11(3):190-3. Available from: https://www.bjbms.org/ojs/index.php/bjbms/article/view/2573
Section
Case reports