Monomorphic Epitheliotropic Intestinal T cell Lymphoma: a Rare Cause of Chronic Diarrhea
Chronic diarrhea is a frustrating and sometimes difficult diagnosis for patients and physicians alike. The etiology is vast and variable. Periodically, numerous studies are required to arrive at a diagnosis. Monomorphic epitheliotropic intestinal T cell lymphoma (MEITL) is a rare and aggressive form of lymphoma that can occur throughout the gastrointestinal tract. Symptoms are variable but can include fever, abdominal pain, weight loss, diarrhea, obstruction, and perforation . Prognosis is poor, and treatment usually consists of surgery, chemotherapy, or stem cell transplantation. We present a case of voluminous chronic diarrhea in an African-American male with associated weight loss due to MEITL.
A 62-year-old African-American male with a history of hypertension, seizures, and schizophrenia was admitted for hypovolemic shock secondary to severe chronic diarrhea. He was initially hypotensive on admission requiring aggressive intravenous fluid resuscitation,...
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The authors declare that they have no conflict of interest.
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