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Hepatosplenic T-Cell Lymphoma: A Rare Complication of Monotherapy with Thiopurines in Crohn’s Disease

dc.contributor.authorCarvão, Joana
dc.contributor.authorMagno Pereira, Vítor
dc.contributor.authorJacinto, Fernando
dc.contributor.authorSousa Andrade, Carla
dc.contributor.authorJasmins, Luís
dc.date.accessioned2020-12-07T17:37:57Z
dc.date.available2020-12-07T17:37:57Z
dc.date.issued2019
dc.description.abstractHepatosplenic T-cell lymphoma (HSTCL) is an extremely rare and aggressive form of non-Hodgkin lymphoma associated with poor response to treatment and high mortality. There is an increased incidence among patients with inflammatory bowel disease, especially young male patients under 35 years old and on combination therapy (thiopurine and anti-TNF-α). We describe a case of HSTCL in a young male patient with stenosing ileal Crohn's disease on azathioprine monotherapy for 4.8 years admitted to our hospital with intra- abdominal sepsis. Despite chemotherapy, the patient eventually died 1 month after the diagnosis. Through a literature review, we identified 18 additional cases of HSTCL in Crohn's disease patients that had only been treated with thiopurine monotherapy. The authors intend to highlight the rarity of this diagnosis especially with azathioprine monotherapy and the diagnostic challenge in a case that presented with intra-abdominal sepsis.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationGE Port J Gastroenterol 2019;26:279–284pt_PT
dc.identifier.doi10.1159/000493350pt_PT
dc.identifier.issn2341-4545 (print)
dc.identifier.issne2387-e1954
dc.identifier.urihttp://hdl.handle.net/10400.26/34282
dc.language.isoengpt_PT
dc.publisherGE- Port J Gastroenterologypt_PT
dc.titleHepatosplenic T-Cell Lymphoma: A Rare Complication of Monotherapy with Thiopurines in Crohn’s Diseasept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage284pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage279pt_PT
oaire.citation.titleGE - Portuguese Journal of Gastroenterologypt_PT
oaire.citation.volume26pt_PT
person.familyNameCarvão
person.givenNameJoana
person.identifier.orcid0000-0003-2063-4257
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationb88aa96c-a700-4e04-ae29-ca3c54dba663
relation.isAuthorOfPublication.latestForDiscoveryb88aa96c-a700-4e04-ae29-ca3c54dba663

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