PMID: 11903028Mar 21, 2002Paper

Risk of non-Hodgkin lymphoma in celiac disease

JAMA : the Journal of the American Medical Association
Carlo CatassiItalian Working Group on Coeliac Disease and Non-Hodgkin's-Lymphoma

Abstract

Celiac disease is one of the most common lifelong disorders. Non-Hodgkin lymphoma is a possible complication of celiac disease and may lead to a large portion of lymphoma cases. To quantify the risk for developing non-Hodgkin lymphoma of any primary site associated with celiac disease. Multicenter, case-control study conducted between January 1996 and December 1999 throughout Italy. Cases were older than 20 years (median, 57; range, 20-92 years) with non-Hodgkin lymphoma of any primary site and histological type and were recruited at the time of the diagnosis. Controls were healthy adults (2739 men and 2981 women) from the general population. Positive test result for class A serum antiendomysial antibody. Celiac disease was diagnosed in 6 (0.92%) of 653 patients with lymphoma. Of the 6 cases, 3 were of B-cell and 3 were of T-cell origin. Four of 6 cases had lymphoma primarily located in the gut. In the control group, 24 (0.42%) had celiac disease. The odds ratio (adjusted for age and sex) for non-Hodgkin lymphoma of any primary site associated with celiac disease was 3.1 (95% confidence interval [CI], 1.3-7.6), 16.9 (95% CI, 7.4-38.7) for gut lymphoma, and 19.2 (95% CI, 7.9-46.6) for T-cell lymphoma, respectively. The risk for ...Continue Reading

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