Department of gastroenterology, Clinical Hospital "Sveti Duh", University Department of Medicine, Zagreb, Croatia.
Bosn J Basic Med Sci. 2011 Aug;11(3):190-3. doi: 10.17305/bjbms.2011.2573.
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.
Early diagnosis and appropriate treatment of the disease, and follow up of family members are crucial to prevent intestinal lymphoma development.
描述一例 35 岁女性患者,其在炎性肠病的诊断下管理了一年,并因基础疾病加重而入院。然而,通过诊断性检查排除了炎性肠病,而临床情况和检查结果提示淋巴瘤。患者的病情还伴有疾病的暴发性病程和肠梗阻。
早期诊断和适当的疾病治疗以及对家庭成员的随访对于预防肠淋巴瘤的发展至关重要。