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array:3 [ "nombre" => "Steffi Verónica" "apellidos" => "Vidal Aguirre" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Miguel Ángel" "apellidos" => "Piris Pinilla" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Esteban" "apellidos" => "Saperas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Aparato Digestivo, Hospital Universitario General de Cataluña, Sant Cugat del Vallès, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Universitario Fundación Jiménez Diaz, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Un caso infrecuente de enteropatía por células <span class="elsevierStyleItalic">natural killer</span> simulando linfoma intestinal" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 487 "Ancho" => 755 "Tamanyo" => 109541 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0020" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ileal biopsy: infiltrate in lamina propria of medium to large cells with irregular nuclei with fine chromatin, inconspicuous nucleoli and moderate amount of pale cytoplasm with eosinophilic granules (H&E).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Natural killer</span> cell enteropathy (NKCE) is a rare indolent lymphoproliferative disorder whose pathological features may be mistaken for aggressive primary GI T-cell or NK-cell lymphomas.</p><p id="par0010" class="elsevierStylePara elsevierViewall">This is the case of a patient with NKCE with involvement of the terminal ileum who presented with this diagnostic challenge. The patient was a 47-year-old man with no past history of interest with abdominal pain and diarrhoea of three months’ duration, IgA deamidated gliadin peptide antibodies (anti-DGP) of 51.5<span class="elsevierStyleHsp" style=""></span>AU/ml (<15<span class="elsevierStyleHsp" style=""></span>AU/ml), undetectable anti-transglutaminase antibodies.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Oral panendoscopy with duodenal biopsies was normal. Colonoscopy with ileoscopy showed micronodular lesions in the terminal ileum consistent with nodular hyperplasia.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Pathology examination of the endoscopic biopsies identified expansion of the lamina propria by a well-demarcated superficial infiltrate of medium to large cells with irregular nuclei with fine chromatin, inconspicuous nucleoli and moderate amounts of pale cytoplasm with eosinophilic granules. Mucous glands without destruction. No villous atrophy, necrosis, angioinvasion or angiodestruction. Neoplastic cells expressed T-markers (CD3 and CD7), CD56 and cytotoxic markers (TIA1), but not CD5, CD4, CD8, CD21, CD30, cyclin<span class="elsevierStyleHsp" style=""></span>D1, S-100 or SOX11. Ki-67 proliferation index of 20%. No EBV- or CMV-positive cells were detected. Molecular study of TCR alpha/beta and gamma/delta rearrangement was not possible due to lack of histological material. These IHC study results led to a diagnosis of NKCE (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">The study was completed with nuclear magnetic resonance imaging, which was normal, and capsule endoscopy, which showed two clean millimetric vascular lesions in the jejunum and isolated millimetric polyps in the terminal ileum. Due to the initial suspicion of lymphoma, chest CT, PET–CT and bone marrow aspiration were also performed, which were normal. We considered that the patient also had potential coeliac disease, as he had suggestive symptoms, positive serology and was a heterozygous carrier of the HLA-DQ 2.2 gene, but no compatible histological lesions were associated.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Removal of gluten from the diet was indicated and symptoms improved. A follow-up ileoscopy was performed at one year of follow-up, which continued to show micronodular lesions consistent with nodular hyperplasia, but histology only reported lymphoid aggregates with a reactive appearance.</p><p id="par0030" class="elsevierStylePara elsevierViewall">NKCE, described by Mansoor in 2011, is rare, with fewer than 45 cases reported, with a mean age of 58<span class="elsevierStyleHsp" style=""></span>years.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> The series involve one or more organs of the digestive tract, including the oesophagus, stomach, small intestine, colon and biliary tract.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,3</span></a> Patients are asymptomatic or present with non-specific symptoms such as abdominal pain, diarrhoea, constipation or weight loss.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,3</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Endoscopic findings include erythematous lesions, erosions/ulcers, raised lesions and polyps. There is no adenopathic involvement or organomegaly. The clinical course is indolent, with spontaneous resolution or prolonged persistence of symptoms and lesions. No dissemination or death from this condition has been reported.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">NKCE is recognised as a pseudomalignant process because it remits spontaneously without any treatment.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> It is not known whether this process occurs more frequently in patients with gluten sensitivity. Vega et al.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> described a case of NKCE in which the patient was found to have high titres of anti-gliadin antibodies. The lesions subsided with a gluten-free diet, although there was no clinical or histological evidence of concomitant coeliac disease.</p><p id="par0045" class="elsevierStylePara elsevierViewall">NKCE usually consists of a diffuse infiltrate limited to the lamina propria that displaces but does not destroy mucosal glands, consisting of medium to large cells with irregular nuclei, fine chromatin, inconspicuous nucleolus and a pale cytoplasm accompanied by characteristic eosinophilic granules. A key point is the negativity of EBV-encoded RNA <span class="elsevierStyleItalic">in situ</span> hybridisation, as well as the lack of clonality in the clonal rearrangement of TR genes, a consistent finding in lymphomas.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">On histological examination, this entity may mimic a primary intestinal NK/T-cell lymphoma and lead to misdiagnosis. Due to prognostic and therapeutic differences, this condition must be distinguished from extranodal NK/T-cell lymphoma, nasal type and monomorphic intestinal epitheliotropic T-cell lymphoma.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">In conclusion, we present a patient with NKCE in whom endoscopic biopsy of the terminal ileum showed a diffuse infiltrate consisting of cells with cytological atypia, and irregular nuclei with eosinophilic granular cytoplasm that initially simulated NK-cell lymphoma. A deeper understanding of this rare lymphoproliferative disorder and review by an expert pathologist is the key to avoiding misdiagnosis and inappropriate intensive treatment.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0060" class="elsevierStylePara elsevierViewall">No funding was received for this study.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0065" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 487 "Ancho" => 755 "Tamanyo" => 109541 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0020" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ileal biopsy: infiltrate in lamina propria of medium to large cells with irregular nuclei with fine chromatin, inconspicuous nucleoli and moderate amount of pale cytoplasm with eosinophilic granules (H&E).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Celiac disease diagnosis: simple rules are better than complicated algorithms" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C. Catassi" 1 => "A. Fasano" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.amjmed.2010.02.019" "Revista" => array:6 [ "tituloSerie" => "Am J Med" "fecha" => "2010" "volumen" => "123" "paginaInicial" => "691" "paginaFinal" => "693" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20670718" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "NK-cell enteropathy: a benign NK-cell lymphoproliferative disease mimicking intestinal lymphoma: clinicopathologic features and follow-up in a unique case series" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Mansoor" 1 => "S. Pittaluga" 2 => "P.L. Beck" 3 => "W.H. Wilson" 4 => "J.A. Ferry" 5 => "E.S. Jaffe" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1182/blood-2010-08-302737" "Revista" => array:6 [ "tituloSerie" => "Blood" "fecha" => "2011" "volumen" => "117" "paginaInicial" => "1447" "paginaFinal" => "1452" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20966166" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Atypical NK-cell proliferation of the gastrointestinal tract in a patient with antigliadin antibodies but not celiac disease" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. Vega" 1 => "C.C. Chang" 2 => "M.R. Schwartz" 3 => "H.A. Preti" 4 => "M. Younes" 5 => "A. Ewton" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/00000478-200604000-00017" "Revista" => array:6 [ "tituloSerie" => "Am J Surg Pathol" "fecha" => "2006" "volumen" => "30" "paginaInicial" => "539" "paginaFinal" => "544" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16625103" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lymphomatoid gastropathy: a distinct clinicopathologic entity of self-limited pseudomalignant NK-cell proliferation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "K. Takeuchi" 1 => "M. Yokoyama" 2 => "S. Ishizawa" 3 => "Y. Terui" 4 => "K. Nomura" 5 => "K. 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