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Celiac disease transmitted by allogeneic non-T cell-depleted bone marrow transplantation

Bone Marrow Transplantation volume 20, pages 607–609 (1997)Cite this article

Abstract

We observed the occurrence of celiac disease following allogeneic bone marrow transplantation in a patient transplanted for acute leukemia. The marrow donor was his HLA-identical sister, who had suffered from celiac disease since birth. The post-transplant period was characterized by recurrent episodes of diarrhea. Detailed workup showed atrophic intestinal mucosa on histology and anti-gliadin and anti-endomysium antibodies in the serum, features that were not present before transplantation. GVHD was absent at that time. The patient remains free of symptoms on gluten-free diet and slight immunosuppression. This case suggests transmission of celiac disease by bone marrow transplantation and supports the T cell concept in celiac disease.

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Authors and Affiliations

  1. Division of Hematology, Children’s Hospital, Basel, Switzerland

    MJ Bargetzi, A Schönenberger, A Tichelli, B Speck & A Gratwohl

  2. Department of Internal Medicine, Gastroenterology, Children’s Hospital, Basel, Switzerland

    R Fried

  3. Department of Pathology, Kantonsspital Basel, Basel, Switzerland

    G Cathomas

  4. Division of Hematology, Children’s Hospital, Basel, Switzerland

    E Signer

Authors
  1. MJ Bargetzi
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  2. A Schönenberger
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  3. A Tichelli
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  4. R Fried
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  5. G Cathomas
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  6. E Signer
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  7. B Speck
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  8. A Gratwohl
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Bargetzi, M., Schönenberger, A., Tichelli, A. et al. Celiac disease transmitted by allogeneic non-T cell-depleted bone marrow transplantation. Bone Marrow Transplant 20, 607–609 (1997). https://doi.org/10.1038/sj.bmt.1700926

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  • DOI: https://doi.org/10.1038/sj.bmt.1700926

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