Regression of mesenteric lymph nodes cavitation syndrome complicating celiac disease after a gluten free diet

We report the case of a 39-year old woman with celiac disease in associatio n with a cavitating mesenteric lymph node, hyposplenism and intra-hepatic h aematopoiesis. The serious initial clinical picture evoked a diagnosis of n on Hodgkin lymphoma but was not confirmed on multiple biopsies. Despite the usual poor prognostic clinical outcome in such a setting, treatment with a strict gluten-free diet resulted in a remarkable persistent improvement in clinical status and lead to almost complete regression in radiological sig ns observed for vp to 30 months follow-up.