Lymphoma development and survival in refractory coeliac disease type II: Histological response as prognostic factor

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Coeliac disease and lymphoma.

Following the original description of lymphoma complicating coeliac disease [1], it has become clear that patients with coeliac disease have a 50to a 100-fold increased risk of developing malignant lymphoma compared with the general population [2,3]. The exact risk is unknown as the precise prevalence and incidence of coeliac disease in the population is also unknown. Lymphoma may present in tw...

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COELIAC DISEASE Refractory coeliac sprue is a diffuse gastrointestinal disease

Background: Refractory coeliac sprue (RCS) with an immunophenotypically aberrant clonal intraepithelial lymphocyte (IEL) population is considered a cryptic form of intestinal T cell lymphoma. Aims: To investigate the distribution of the abnormal and monoclonal IEL population in the digestive tract of RCS patients. Patients and methods: We compared the frequency of lymphocytic gastritis (LG) and...

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Severe Refractory Coeliac Disease with Response Only to Parenteral Nutrition

Refractory coeliac disease (RCD) is characterised by recurrent or persistent malabsorptive symptoms and villous atrophy, despite strict adherence to a gluten-free diet for at least 6 months and where other causes of malabsorption including malignancy have been excluded. There is limited evidence and guidance on the effective management of these patients. We describe a case of severe RCD in our ...

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Survival in refractory coeliac disease and enteropathy-associated T-cell lymphoma: retrospective evaluation of single-centre experience.

BACKGROUND Coeliac disease may be regarded as refractory disease (RCD) when symptoms persist or recur despite strict adherence to a gluten-free diet. RCD may be subdivided into types I and II with a phenotypically normal and aberrant intraepithelial T-cell population, respectively. RCD I seems to respond well to azathioprine/prednisone therapy. RCD II is usually resistant to any known therapy a...

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T-cell repertoires in refractory coeliac disease

OBJECTIVE Refractory coeliac disease (RCD) is a potentially hazardous complication of coeliac disease (CD). In contrast to RCD type I, RCD type II is a precursor entity of enteropathy-associated T-cell lymphoma (EATL), which is associated with clonally expanding T-cells that are also found in the sequentially developing EATL. Using high-throughput sequencing (HTS), we aimed to establish the sma...

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ژورنال

عنوان ژورنال: United European Gastroenterology Journal

سال: 2017

ISSN: 2050-6406,2050-6414

DOI: 10.1177/2050640616646529