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很多成人乳糜泻(ACD)患者发生小肠恶性淋巴瘤,有些病人出现肠穿孔剖腹探查时发现淋巴瘤,而症状隐匿则更为多见。经一定时间无麸质饮食,病情稳定后又出现腹泻、体重减轻和腹痛,是伴发肠道淋巴瘤较常见的症状。但与ACD不易区别,致使肠道淋巴瘤的诊断常被延误。作者观察了伴有或不伴有肠道淋巴瘤的ACD患者的淋巴细胞亚群及对植物凝血素(PHA)的反应。
Malignant lymphoma of the small intestine occurs in many adults with celiac disease (ACD). Lymphoma is found in some cases of laparotomy by bowel perforation and is more common with occult symptoms. After a certain period of gluten-free diet, stable condition and then appear diarrhea, weight loss and abdominal pain, is associated with intestinal lymphoma more common symptoms. But not easy to distinguish with ACD, resulting in the diagnosis of intestinal lymphoma is often delayed. The authors observed lymphocyte subsets and responses to phytohemagglutinin (PHA) in ACD patients with and without intestinal lymphoma.