PACKOVÁ, Barbora, Pavel KOHOUT, Milan DASTYCH, Jitka PROKEŠOVÁ, Tomáš GROLICH and Radek KROUPA. Malignant complications of celiac disease: a case series and review of the literature. Journal of Medical Case Reports. London: BMC, 2022, vol. 16, No 1, p. 1-9. ISSN 1752-1947. Available from: https://dx.doi.org/10.1186/s13256-022-03682-3.
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Basic information
Original name Malignant complications of celiac disease: a case series and review of the literature
Authors PACKOVÁ, Barbora (203 Czech Republic, belonging to the institution), Pavel KOHOUT (203 Czech Republic), Milan DASTYCH (203 Czech Republic, belonging to the institution), Jitka PROKEŠOVÁ (203 Czech Republic, belonging to the institution), Tomáš GROLICH (203 Czech Republic, belonging to the institution) and Radek KROUPA (203 Czech Republic, belonging to the institution).
Edition Journal of Medical Case Reports, London, BMC, 2022, 1752-1947.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30219 Gastroenterology and hepatology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 1.000
RIV identification code RIV/00216224:14110/22:00128049
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1186/s13256-022-03682-3
UT WoS 000897934500001
Keywords in English Celiac disease; Malignancy; Complication; Lymphoma; Carcinoma; Case report
Tags 14110213, 14110223, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 20/1/2023 12:00.
Abstract
Abstract Background: Celiac disease is an immune-mediated enteropathy triggered by gluten in genetically susceptible individuals. Diagnosis is based on evaluating specifc autoantibodies and histopathologic fndings of duodenal biopsy specimens. The only therapy for celiac disease is a gluten-free diet. Celiac disease can be complicated by malnutrition, other autoimmune diseases, refractoriness to treatment, and gastrointestinal tumors. This article presents seven cases of malignancies in patients with celiac disease. Its objective is to raise awareness of the malignant complications of celiac disease, leading to earlier diagnosis and improved outcomes. Case presentation: Seven cases of malignant complications of celiac disease occurred among 190 patients followed at the Department of Internal Medicine and Gastroenterology, University Hospital Brno from 2014 to 2021. We describe these cases and the presentation, diagnostic process, course, management, and outcomes for each, along with proposed potential risk factors of malignant complications. There was one Caucasian man who was 70 years old and six Caucasian women who were 36, 46, 48, 55, 73, and 82 years old in our cohort. Of the seven cases of malignancies in our cohort, four patients were diagnosed with small bowel adenocarcinoma, one with difuse large B-cell lymphoma, one with carcinoma of the tongue, and one with colorectal carcinoma. Conclusions: Malignancies occurred in 3.7% of patients followed up for celiac disease. Awareness of the malignant complications of celiac disease, risk factors, presentation, and disease course could lead to earlier diagnosis and improved outcomes.
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