[Regression of mesenteric lymph node cavitation syndrome complicating celiac disease after a gluten free diet].
We report the case of a 39-year old woman with celiac disease in association with a cavitating mesenteric lymph node, hyposplenism and intra-hepatic haematopoiesis. The serious initial clinical picture evoked a diagnosis of non-Hodgkin lymphoma but was not confirmed on multiple biopsies. Despite the usual poor prognostic clinical outcome in such a setting, treatment with a strict gluten-free diet resulted in a remarkable persistent improvement in clinical status and lead to almost complete regression in radiological signs observed for up to 30 months follow-up.
Arotçarena
R
R
Services de Gastroentérologie, Hôpital Beaujon, Clichy.
Hammel
P
P
Terris
B
B
Guth
A
A
Bernades
P
P
Ruszniewski
P
P
D000328:Adult; D001706:Biopsy; D002446:Celiac Disease / Q000178:diet therapy* / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D005983:Glutens / Q000008:administration & dosage*; D006411:Hematopoiesis, Extramedullary; D006801:Humans; D008099:Liver; D008198:Lymph Nodes / Q000473:pathology*; D008228:Lymphoma, Non-Hodgkin; D008643:Mesentery; D013154:Spleen / Q000473:pathology; D013577:Syndrome; D014057:Tomography, X-Ray Computed
D005983:Glutens