TY - JOUR
TI - Simultaneous diagnosis of ulcerative jejunoileitis and coeliac disease
in an elderly man
AU - Koutroutsos, K
AU - Tsiachris, D
AU - Papatheodoridis, GV
AU - Tiniakos, DG
AU - and Zafiropoulou, R
AU - Archimandritis, AJ
JO - Digital Biomarkers
PY - 2006
VL - 73
TODO - 1
SP - 20-24
PB - Karger
SN - null
TODO - 10.1159/000091661
TODO - coeliac disease; ulcerative jejunoileitis; enteropathy-associated T-cell
lymphoma
TODO - Ulcerative jejunoileitis (UJI) is a rare condition which usually
develops in patients with established or simultaneously diagnosed
coeliac disease (CD) and has been suggested to represent cryptic
low-grade enteropathy-associated T-cell lymphoma (EATL). We report a
case of a 78-year-old male patient with UJI and CD diagnosed at the same
time. He presented with abdominal pain, diarrhoea and weight loss and
had serological, endoscopical, radiological and histological findings
compatible with the diagnoses of both UJI and CD. The possibility of
EATL was carefully excluded. The patient exhibited significant
symptomatic improvement with a gluten-free diet, probably indicating an
early stage of disease despite his old age. In conclusion, this rather
unusual case of an elderly patient presenting with UJI and CD without
evidence of EATL supports the great heterogeneity of these diseases not
only in their clinical presentation but even in their course and
complications. Copyright (c) 2006 S. Karger AG, Basel.
ER -