Résumé
La jéjuno-iléite ulcéreuse (JIU) est une pathologie rare en rapport avec la maladie coeliaque et l’entéropathie, associée au lymphome à cellule T (EALT). Trente-huit patients souffrant de JIU ont été décrits dans la littérature. Quinze d’entre eux ont développé une JIU comme complication de la maladie coeliaque. Le diagnostic de maladie coeliaque a été exclu dans 3 cas mais elle n’a pu être affirmée ni exclue chez les patients restants. Dans la majorité des cas, la JIU a compliqué une forme latente de la maladie coeliaque. Enfin, un tiers des patients étaient porteurs d’une entéropathie associée au lymphome à cellule T au moment du diagnostic et chez les autres, le développement ultérieur d’une lésion maligne ne peut être exclu.
Summary
Ulcerative jejunoileitis is a rare pathological condition related to coeliac disease and enteropathy-associated T cell lymphoma. Thirty-eight patients affected by ulcerative jejunoileitis are described in the literature. Ulcerative jejunoileitis occurred as a complication of coeliac disease in fifteen of them. The diagnosis of coeliac disease was excluded in three, but coeliac disease could not be either confirmed or excluded in the remaining subjects. Whatever the case, evidence suggests that a clinical silent form of coeliac disease complicated by ulcerative jejunoileitis affected most of them. Finally, a third of all the patients were actually affected by enteropathy-associated T cell lymphoma and it cannot be excluded whether others will develop this malignancy in the future.
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Références
RAI R., BAYLESS T.M. — Isolated and diffuse ulcers of the small intestine. In: Feldman M., Scharschmidt BF, Sleisenger MH, eds. Sleisenger & Fordtran’s Gastrointestinal and Liver Disease, 6th ed. Philadelphia: WB Saunders, 1997, p. 1771–1778.
WRIGHT D.H. — The major complications of coeliac disease.Baillieres Clin. Gastroenterol., 1995,9, 351–369.
GREEN J.A., BARKIN J.S., GREGG P.A., KOHEN K. — Ulcerative jejunitis in refractory celiac disease: enteroscopic visualization.Gastrointest. Endosc., 1993,39, 584–585.
KLAEVEMAN H.L., GEBHARD R.L., SESSOMS C., STROBER W. —In vitro studies of ulcerative ileojejunitis.Gastroenterology, 1975,68, 572–582.
SCOTT B.B., LOSOWSKY M.S. — Cell-mediated autoimmunity in coeliac disease.Clin. Exp. Immunol., 1976,26, 243–246.
BIAGI F., POGGIOLI G., MAZZONI G., CORAZZA G.R. — Intestinal strictures.Lancet, 1998,352, 876.
ASHTON-KEY M., DISS T.C., PAN L., DU M.Q., ISAACSON P.G. — Molecular analysis of T-cell clonality in ulcerative jejunitis and enteropathy associated T-cell lymphoma.Am. J. Pathol., 1997,151, 493–498.
BAYLESS T.M., KAPELOWITZ R.F., SHELLEY W.M., BALLINGER W.F., HENDRIX T.R. — Intestinal ulceration. A complication of celiac disease.N. Engl. J. Med., 1967,276, 996–1002.
ROBERTSON D.A.F., DIXON M.F., SCOTT B.B., SIMPSON F.G., LOSOWSKY M.S. — Small intestinal ulceration: diagnostic difficulties in relation to coeliac disease.Gut, 1983,24, 565–574.
NEALE G. — A case of coeliac disease resistant to treatment.Br. Med. J., 1968,2, 678–684.
NEALE G. — A case of malabsorption, intestinal mucosal atrophy and ulceration, cirrhosis, and emphysema.Br. Med. J., 1970,3, 207–212.
JONES P.E., GLEESON M.H. — Mucosal ulceration and mesenteric lymphadenopathy in coelaic disease.Br. Med. J., 1973,3, 212–213.
MODIGLIANI R., POITRS P., GALIAN A., MESSING B., GUYET-ROUSSET P., LIBESKINDet al. — Chronic nonspecific ulcerative duodenojejunoileitis: report of four cases.Gut, 1979,20, 318–328.
MILLS P.R., BROWN I.L., WATKINSON G. — Idiopathic chronic ulcerative enteritis report of five cases and review of the literature.Q. J. Med., 1980,49, 133–149.
DAVIDSON A.R. — Recurrent benign ileal ulcer occurring with the coeliac syndrome.Br. Med. J., 1969,3, 341.
JEFFRIES G.H., STEINBERG H., SLEISENGER M.H. — Chronic ulcerative (non granulomatous) jejunitis.Am. J. Med., 1968,44, 47–59.
ARMSTRONG B.K., AMMON R.K., FINLAY-JONES L.R., JOSKE R.A., VIVIAN A.B. — A further case of chronic ulcerative enteritis.Gut, 1973,14, 649–652.
CELLIER C., PATEY N., MAUVIEX L., JABRI B., DELABESSE E., CERVONI J.P.et al. — Abnormal intestinal intraepithelial lymphocytes in refractory sprue.Gastroenterology 1998,114, 471–81.
KARZ S., GUTH P.H., POLONSKY L. — Chronic ulcerative jejubnoileitis.Am. J. Gastroenterol., 1971,56, 61–67.
FREEMAN H.J., WEINSTEIN W.M., SHNITKA T.K., PIERCEY J.R.A., WENSEL R.H. — Primary abdominal lymphoma. Presenting manifestation of celiac sprue or complicating dermatitis herpetiformis.Am. J. Med., 1977,63, 585–594.
ISAACSON P., WRIGHT D.H. — Malignant histiocytosis of the intestine. Its relationship to malabsorption and ulcerative jejunitis.Hum. Pathol., 1978,9, 585–594.
CARBONNEL F., GROLLET-BIOUL L., BROUET J.C., TEILHAC M.F., COSNENS J., ANGONIN R.et al. — Are complicated forms of celiac disease cryptic T-cell lymphomas?Blood, 1998,92, 3879–3886.
BAGDI E., DISS T.C., MUNSON P., ISAACSON P.G. — Mucosal intra-epithelial lymphocytes in enteropathy-associated T-cell lymphoma, ulcerative jejunitis, and refractory celiac disease constitute a neoplastic population.Blood, 1999,94, 260–264.
ALFSEN G.C., BEISKE K., BELL H., MARTON P.F. — Low grade intestinal lymphoma of intraepithelial T lymphocytes with concomitant enteropathy associated T-cell lymphoma: case report suggesting a possible histogenetic relationship.Hum. Pathol., 1989,20, 909–913.
CELLIER C., DELABESSE E., HELMER C., PATEY N., MATUCHANSKY C., JABRI B.et al. — Refractory sprue, coeliac disease, and enteropathy-associated T-cell lymphoma.Lancet, 2000,356, 203–208.
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Biagi, F., Corazza, G.R. La jéjuno-iléite ulcéreuse: revue de la littérature. Acta Endosc 31, 265–270 (2001). https://doi.org/10.1007/BF03020893
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DOI: https://doi.org/10.1007/BF03020893
Mots-clés
- entéropathie associée au lymphome à cellule T
- jéjuno-iléite ulcéreuse
- maladie cœliaque
- régime sans gluten