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Related Experiment Videos

[Collagenous sprue. Clinical case]

P Maggiolo1, J Klinger, L Arellano

  • 1Departamento de Medicina, Hospital Salvador, Universidad de Chile, Santiago de Chile.

Revista Medica De Chile
|January 29, 1999
PubMed
Summary
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A patient with a history of non-Hodgkin lymphoma developed gluten-induced enteropathy. Despite a gluten-free diet, persistent steatorrhea and subepithelial collagen deposition were observed, suggesting a complex gastrointestinal condition.

Area of Science:

  • Gastroenterology
  • Oncology
  • Pathology

Background:

  • A 47-year-old female with a history of non-Hodgkin lymphoma (NHL) presented with symptoms of diarrhea and steatorrhea.
  • Initial diagnosis suggested gluten-induced enteropathy, with a positive clinical response to a gluten-free diet.

Observation:

  • Recurrence of steatorrhea in 1996 despite adherence to a gluten-free diet.
  • Intestinal biopsies revealed subepithelial collagen deposition, a finding not typically associated with celiac disease alone.

Findings:

  • Empiric treatment with prednisone and sulphasalazine led to symptom improvement (abated steatorrhea).
  • Subepithelial collagen deposition persisted in intestinal biopsies even after clinical improvement.

Implications:

Related Experiment Videos

  • This case highlights a complex interplay between prior lymphoma treatment, potential celiac disease, and collagenous colitis.
  • The persistent subepithelial collagen deposition suggests an underlying pathology beyond simple gluten sensitivity, possibly related to the patient's prior oncological treatment or an independent condition.