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Correspondence
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Volume 335:1611-1612 November 21, 1996 Number 21
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Celiac Disease and T-Cell Lymphoma

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 by Epstein, A.
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To the Editor: Case 15-1996 (May 16 issue)1 describes a typical case of celiac disease in an adult in whom a complicating T-cell lymphoma led to death. The chronically ill and malnourished condition of the patient, the multifocal nature of the lymphoma, and the development of intestinal perforation explain why the prognosis for patients with this condition is so poor. In our series, patients with previously diagnosed celiac disease and a complicating lymphoma that was diagnosed before death survived for a mean of only 2.25 months, despite treatment. The diagnosis is also difficult; conventional upper endoscopic studies detected the lymphoma . . . [Full Text of this Article]

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