Liong C C, Ravindran S, Gnana Kumar G, Chin E F, Koh P S, Chan W K
University of Malaya, Faculty of Medicine, Department of Medicine, Gastroenterology and Hepatology Unit, Kuala Lumpur, Malaysia.
University of Malaya, Faculty of Medicine, Department of Pathology, Kuala Lumpur, Malaysia.
Med J Malaysia. 2016 Apr;71(2):88-90.
Chronic diarrhoea in tropical countries may be due to a myriad of causes from infective to non-infective. This case report illustrates the challenges faced in the investigation of a middle-age Chinese gentleman who presented with chronic diarrhoea and weight loss. The diagnosis of type II enteropathy-associated T-cell lymphoma (EATL) was finally made. The diagnosis of EATL was least suspected as the condition is almost unheard of in this part of the world. The epidemiology, presentation, diagnosis, management and prognosis of this rare condition are discussed.
热带国家的慢性腹泻可能由无数原因引起,从感染性到非感染性。本病例报告说明了一名出现慢性腹泻和体重减轻的中年中国男性患者在调查过程中所面临的挑战。最终确诊为II型肠病相关T细胞淋巴瘤(EATL)。EATL的诊断最不容易被怀疑,因为在世界的这一地区几乎从未听说过这种疾病。本文讨论了这种罕见疾病的流行病学、临床表现、诊断、治疗及预后。