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Celiac disease and malignancy

B T Cooper, G K Holmes, R Ferguson

    Medicine
    |July 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Celiac disease patients with lymphoma often present with non-specific symptoms like weight loss and diarrhea. Consider lymphoma in celiac patients who worsen unexpectedly, even after dietary changes.

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    Area of Science:

    • Gastroenterology
    • Oncology
    • Clinical Medicine

    Background:

    • Celiac disease is an autoimmune disorder triggered by gluten, leading to small intestine inflammation.
    • Malignancies can occur in celiac disease patients, but their presentation and impact on celiac symptoms are not fully understood.

    Observation:

    • Fifty-five patients with celiac disease and coexistent malignancies (27 lymphoma, 28 other tumors) were studied.
    • Lymphoma presentation in celiac patients included weight loss, abdominal pain, diarrhea, weakness, fever, anemia, and hypoalbuminemia.
    • Other malignancies (carcinomas, etc.) presented similarly to non-celiac patients and did not typically worsen celiac disease.

    Findings:

    • Lymphoma diagnosis in celiac patients was often delayed, with radiology and jejunal biopsies being unhelpful.

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  • Reticulum cell sarcoma was the most common lymphoma subtype and frequently involved the bowel.
  • Early diagnosis and laparotomy were suggested for unexplained deterioration in celiac patients.

    • Implications:

    • High suspicion for lymphoma is warranted in celiac disease patients presenting with non-specific symptoms or unexplained deterioration.
    • Malignancy does not appear to be the primary cause of the characteristic flat jejunal mucosa in celiac disease.
    • Further research is needed to improve early detection and management of malignancies in celiac disease patients.