Diatesi emorragica e linfoma intestinale

Translated title of the contribution: Haemorrhage and intestinal lymphoma

Attilia M. Pizzini, Annalisa Pilia, Mauro Silingardi, Ido Lori, Maria C. Gelli

Research output: Contribution to journalArticle

Abstract

Background: The prevalence of coeliac disease is around 1% in general population but this is often unrecognised. The classical presentation of adult coeliac disease is characterized by diarrhoea and malabsorption syndrome, but atypical presentations are probably more common and are characterized by iron deficiency anaemia, weight loss, fatigue, infertility, arthralgia, peripheral neuropathy and osteoporosis. Unusual are the coagulation disorders (prevalence 20%) and these are due to vitamin K malabsorption (prolonged prothrombin time). Clinical case: A 64-year-old man was admitted to our Department for an extensive spontaneous haematoma of the right leg. He had a history of a small bowel resection forT-cell lymphoma, with a negative follow-up and he didn't report any personal or familiar history of bleeding. Laboratory tests showed markedly prolonged prothrombin (PT) and partial-thromboplastin time (PTT), corrected by mixing studies, and whereas platelet count and liver tests was normal. A single dose (10 mg) of intravenous vitamin K normalized the PT. Several days before the patient had been exposed to a superwarfarin pesticide, but diagnostic tests for brodifacoum, bromadiolone or difenacoum were negative. Diagnosis of multiple vitamin K-dependent coagulationfactor deficiencies (II, VII, IX, X) due to intestinal malabsorption was made and coeliac disease was detected. Therefore the previous lymphoma diagnosis might be closely related to coeliac disease. Conclusions: A gluten free diet improves quality of life and restores normal nutritional and biochemical status and protects against these complications.

Original languageItalian
Pages (from-to)32-36
Number of pages5
JournalItalian Journal of Medicine
Volume4
Issue number1
DOIs
Publication statusPublished - Mar 2010

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Celiac Disease
Vitamin K
Lymphoma
Hemorrhage
Prothrombin
Malabsorption Syndromes
Gluten-Free Diet
Partial Thromboplastin Time
Iron-Deficiency Anemias
Prothrombin Time
Arthralgia
Peripheral Nervous System Diseases
Nutritional Status
Platelet Count
Routine Diagnostic Tests
Pesticides
Hematoma
Infertility
Osteoporosis
Fatigue

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Pizzini, A. M., Pilia, A., Silingardi, M., Lori, I., & Gelli, M. C. (2010). Diatesi emorragica e linfoma intestinale. Italian Journal of Medicine, 4(1), 32-36. https://doi.org/10.1016/j.itjm.2010.01.003

Diatesi emorragica e linfoma intestinale. / Pizzini, Attilia M.; Pilia, Annalisa; Silingardi, Mauro; Lori, Ido; Gelli, Maria C.

In: Italian Journal of Medicine, Vol. 4, No. 1, 03.2010, p. 32-36.

Research output: Contribution to journalArticle

Pizzini, AM, Pilia, A, Silingardi, M, Lori, I & Gelli, MC 2010, 'Diatesi emorragica e linfoma intestinale', Italian Journal of Medicine, vol. 4, no. 1, pp. 32-36. https://doi.org/10.1016/j.itjm.2010.01.003
Pizzini AM, Pilia A, Silingardi M, Lori I, Gelli MC. Diatesi emorragica e linfoma intestinale. Italian Journal of Medicine. 2010 Mar;4(1):32-36. https://doi.org/10.1016/j.itjm.2010.01.003
Pizzini, Attilia M. ; Pilia, Annalisa ; Silingardi, Mauro ; Lori, Ido ; Gelli, Maria C. / Diatesi emorragica e linfoma intestinale. In: Italian Journal of Medicine. 2010 ; Vol. 4, No. 1. pp. 32-36.
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