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Clinical Journal of Gastroenterology

, Volume 11, Issue 1, pp 48–52 | Cite as

Safe use of infliximab for the treatment of severe perianal Crohn’s disease after diagnosis and treatment of lymphoma

  • Carlos Bernardes
  • Pedro Russo
  • Diana Carvalho
  • Joana Saiote
  • Jaime Ramos
Case Report

Abstract

Inflammatory bowel disease is associated with an increased likelihood of developing lymphoma. However, it is still controversial if this risk may be attributed to the disease itself or rather represents an effect of immunosuppressive treatment. Although tumor necrosis factor alpha (TNFα) is a key cytokine for cancer immunosurveillance, the potential relationship between anti-TNFα agents and the pathogenesis of lymphoproliferative disorders remains unclear. Here, we describe the case of a patient with severe perianal Crohn’s disease, treated with infliximab monotherapy, whose unusual presentation with acute groin pain required surgical intervention and led to the diagnosis of diffuse large B-cell lymphoma. However, 10 months after this episode, treatment with infliximab was restarted because the patient continued with refractory and disabling perianal disease. Currently, with a follow-up of 36 months, under infliximab 10 mg/kg every 4 weeks, he maintains mild perianal Crohn’s disease and persists in sustained clinical and imaging remission of the lymphoproliferative disorder.

Keywords

Lymphoma Lymphoproliferative disorder Crohn’s disease Inflammatory bowel disease Infliximab Anti-TNFα 

Notes

Compliance with ethical standards

Conflict of interest

All authors declare no conflicts of interest.

Human rights

All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

Informed consent

Informed consent was obtained from all patients for being included in the study.

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Copyright information

© Japanese Society of Gastroenterology 2017

Authors and Affiliations

  1. 1.Gastroenterology DepartmentCentro Hospitalar de Lisboa CentralLisbonPortugal
  2. 2.BarcarenaPortugal

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