Hypocalcemia Revealing an Enteropathy-Associated T-cell Lymphoma

Enteropathy-associated T-cell lymphoma (EATL) is a rare and aggressive type of extranodal T-cell lymphoma (TCL) arising in the gastrointestinal (GI) tract and represents 5-8% of all T-cell non-Hodgkin lymphomas (NHL) and 10-25% of primary intestinal lymphomas. We reported a 78-year-old woman present...

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Bibliographic Details
Published in:Caspian journal of internal medicine Vol. 10; no. 1; pp. 111 - 117
Main Authors: Alonso Ortiz, Maria Belen, Villalba, Noel Lorenzo, Marroquin, Emilio Almaraz, Kechida, Melek, Mendez-Bailon, Manuel, Gonzalez, Imanol Pulido
Format: Journal Article
Language:English
Published: Iran Babol University of Medical Sciences 2019
Subjects:
Case Report
celiac disease
Enteropathy-associated T-cell lymphoma (EATL)
hypocalcemia
Enteropathy-associated T-cell lymphoma
Celiac disease
Hypocalcemia
Hypomagnesemia
ISSN:2008-6164, 2008-6172
Online Access:Get full text
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Summary:Enteropathy-associated T-cell lymphoma (EATL) is a rare and aggressive type of extranodal T-cell lymphoma (TCL) arising in the gastrointestinal (GI) tract and represents 5-8% of all T-cell non-Hodgkin lymphomas (NHL) and 10-25% of primary intestinal lymphomas. We reported a 78-year-old woman presenting with severe hypocalcemia. Investigations confirmed vitamin D and iron deficiency as well as hypoalbuminemia. Celiac disease was suspected and confirmed, but despite intravenous calcium and magnesium supplementation and a gluten-free diet, normal electrolyte levels were never reached. Intestinal perforation was the clue to the diagnosis of enteropathy-associated T-cell lymphoma (EATL). Hypocalcemia can result from multiple conditions. In patients not responding to adequate supplementation, further investigations should be performed to diagnose the underlying condition.
Bibliography:ObjectType-Case Study-2
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ISSN:2008-6164
2008-6172
DOI:10.22088/cjim.10.1.111