Simultaneous diagnosis of ulcerative jejunoileitis and coeliac disease in an elderly man.
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.
Koutroutsos
Konstantinos
K
2nd Department of Internal Medicine, Medical School of Athens University, Hippokration General Hospital, Athens, Greece.
Tsiachris
Dimitrios
D
Papatheodoridis
George V
GV
Tiniakos
Dina G
DG
Zafiropoulou
Rodessa
R
Archimandritis
Athanasios J
AJ
D000368:Aged; D001706:Biopsy; D002446:Celiac Disease / Q000175:diagnosis* / Q000178:diet therapy; D003937:Diagnosis, Differential; D004751:Enteritis / Q000175:diagnosis* / Q000178:diet therapy; D005983:Glutens / Q000009:adverse effects; D006801:Humans; D007079:Ileitis / Q000175:diagnosis* / Q000178:diet therapy; D007579:Jejunal Diseases / Q000175:diagnosis* / Q000178:diet therapy; D008297:Male
D005983:Glutens