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  • Title: [Mesenteric lymph node cavitation in celiac disease: Report of four cases and literature review].
    Author: Ruch Y, Labidi A, Martin A, Weingertner N, Hansmann Y, Lefebvre N, Andres E, Argemi X, Dieudonné Y.
    Journal: Rev Med Interne; 2019 Aug; 40(8):536-544. PubMed ID: 31155369.
    Abstract:
    INTRODUCTION: Mesenteric lymph node cavitation is an exceptional complication of celiac disease. We report four original observations of this syndrome, completed by a literature review. DISCUSSION: The analysis of 38 cases showed that this complication occurred exclusively in adults, with a mean age at diagnosis of 54 years. It revealed the celiac disease in the majority of cases. Hyposplenism was almost systematically associated. The risk of lymphoma appeared higher, especially enteropathy-associated T-cell lymphoma. The prognosis was poor with nearly 50% mortality and seemed related to the clinical response to the gluten-free diet. CONCLUSION: The severity of this complication deserves to be known and should lead to its research in celiac patients, especially in cases diagnosed in adulthood or in case of refractory disease.
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