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Freeman HJ et al. – A 67–year–old man with celiac disease developed recurrent diarrhea, profound weakness and weight loss, with evidence of marked protein depletion. His clinical course was refractory to a strict gluten–free diet and steroid therapy. Although PCR showed identical monoclonal T–cell populations in antemortem duodenal biopsies and postmortem jejunum, careful pathological evaluation demonstrated no frank lymphoma.

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