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Related Experiment Videos

[Colonic lymphoma simulating cryptogenetic colitis associated with common variable hypogammaglobulinemia]

L Larvol1, J P Cervoni, M Hagiage

  • 1Service d'Hépato-Gastroentérologie, Hôpital Louis-Mourier, Colombes.

Gastroenterologie Clinique Et Biologique
|January 1, 1994
PubMed
Summary

A 72-year-old woman with late-onset common variable immunoglobulin deficiency presented with gastrointestinal symptoms. She was diagnosed with a rare colonic mucosa-associated lymphoid tissue (MALT) lymphoma, an unusual finding for this condition.

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Area of Science:

  • Gastroenterology
  • Hematology
  • Immunology

Background:

  • Common variable immunodeficiency (CVID) is a primary immunodeficiency characterized by low immunoglobulin levels and impaired B-cell function.
  • Late-onset CVID is less common and can present with diverse clinical manifestations, including gastrointestinal issues.
  • Colonic lymphomas are rare, with MALT lymphomas being an uncommon subtype, particularly in the colon.

Observation:

  • A 72-year-old female patient with known late-onset CVID was hospitalized due to diarrhea and fever.
  • Colonoscopy revealed aphthoid and deep ulcerations throughout the colon, mimicking inflammatory bowel disease like Crohn's disease.
  • Histological and immunohistochemical analyses confirmed the presence of a low-grade B-cell MALT lymphoma.

Findings:

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  • The patient's presentation highlights an unusual manifestation of colonic lymphoma.
  • This case represents the second documented instance of colonic lymphoma associated with late-onset CVID.
  • The findings underscore the importance of considering lymphoproliferative disorders in CVID patients with unexplained gastrointestinal pathology.
  • Implications:

    • This case expands the spectrum of gastrointestinal complications associated with CVID.
    • It emphasizes the need for thorough investigation, including biopsy, in CVID patients presenting with colonic ulcerations.
    • Further research into the association between CVID and gastrointestinal MALT lymphomas may improve diagnostic and therapeutic strategies.