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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
BMJ Case Rep. 2010; 2010: bcr1020092336.
Published online Aug 26, 2010. doi:  10.1136/bcr.10.2009.2336
PMCID: PMC3028320
Reminder of important clinical lesson
Enteropathy associated T-cell lymphoma resulting in restrictive cardiomyopathy and mimicking myocardial infarction
D Prichard,1 S Jamal,1 A Fortune,2 D S O'Briain,3 and N Mahmud4
1Department of Gastroenterology, St James's Hospital, Dublin, Ireland
2Department of Haematology, St James's Hospital, Dublin, Ireland
3Department of Histopathology, St James's Hospital, Dublin, Ireland
4Department of Clinical Medicine & Gastroenterology, Trinity College Dublin, Trinity Centre for Health Sciences, St James's Hospital, Dublin, Ireland
Correspondence to N Mahmud, nmahmud/at/
A 64-year-old woman was referred with a short history of abdominal pain, anorexia and weight loss. Investigations revealed a probable enteropathy associated T-cell lymphoma (EATL). Further investigations revealed evidence of what appeared to be a myocardial infarction. After going through laparoscopy to obtain diagnostic tissue, the patient developed cardiogenic shock which proved refractory to medical therapy. Postmortem examination revealed diffuse abdominal lymphoma consistent with EATL. Surprisingly, there was extensive infiltration of the myocardium. This report demonstrates an unusual pathology resulting from EATL and discusses the limited evidence relating to cardiac involvement of this disease.
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