Enteropathy-Type T Cell Lymphoma Complicating Undiagnosed Celiac Disease in a Saudi Adult: Case Report

摘要

Background:Celiac disease (CD) is an autoimmune disorder triggered by dietary gluten in genetically susceptible individuals, and it affects about 1% of the population in Europe and North America. There are scarce data regarding the prevalence of celiac disease in Saudi Arabia, but a recent study has shown a seroprevalence of 1.5% among 204 healthy blood donors.We present an adult Saudi patient who developed lymphoma on top of undiagnosed Coeliac.Pateint Presentation:A 70-y-old man was admitted complaining of a generalized abdominal pain for the past five days prior to admission. He reported having significant weight loss over the past 3 months. Clinical examination revealed a thin man with conjunctival pallor and generalised abdominal tenderness but no abnormal findings in all systems. Investigations including abdominal CT scan, coeliac markers, enteroscopy, and histopathology confirmed the diagnosis of T-cell lymphoma on top of undiagnosed celiac disease.Conclusions: Celiac disease may remain undiagnosed till complications occur. A high index of suspicion should be applied to diagnose this disease knowing that sensitive markers for it are now available.