Haubenstock A, Graninger W, Lenzhofer R, Egger T, Sertl K
Wien Klin Wochenschr. 1982 Jan 22;94(2):54-7.
The case report is presented of a patient with gluten sensitive enteropathy who subsequently developed an intestinal non-Hodgkin lymphoma. When steatorrhoea or diarrhoea develops in a patient with abdominal lymphoma, these symptoms are often attributed to progression of the lymphoma or to chemotherapy of the lymphoma. Since there is an established relationship between gluten-sensitive enteropathy and intestinal lymphoma, the differential diagnosis of steatorrhoea or diarrhoea developing in the course of malignant intestinal lymphoma must include gluten-sensitive enteropathy as well. In the investigation for gluten-sensitive enteropathy HLA typing can be used as a screening test in addition to routine malabsorption tests and small bowel biopsy
本文报告了一例麸质敏感性肠病患者,该患者随后发展为肠道非霍奇金淋巴瘤。当腹部淋巴瘤患者出现脂肪泻或腹泻时,这些症状通常归因于淋巴瘤的进展或淋巴瘤的化疗。由于麸质敏感性肠病与肠道淋巴瘤之间存在既定关系,因此在恶性肠道淋巴瘤病程中出现脂肪泻或腹泻的鉴别诊断必须包括麸质敏感性肠病。在对麸质敏感性肠病的调查中,除了常规的吸收不良测试和小肠活检外,HLA分型可作为一项筛查试验。