Year 2019 / Volume 111 / Number 4

Research letter

Duodenal villous atrophy with a negative serology induced by mycophenolate mofetil: not everything is celiac disease

330-331

Javier Lucas Ramos, Pedro de María Pallarés, Álvaro Pezzela Risueño,

Mycophenolate mofetil (MMF) is an immunosuppressive agent that is used in transplanted patients, with frequent gastrointestinal adverse effects. We report the case of a patient, under chronic therapy with mycophenolate mofetil , during a diagnostic workup for a chronic diarrhea, which presents a duodenal villous atrophy ( VA) with negative celiac serology, which is a diagnostic challenge. VA secondary to MMF is a very unusual adverse effect. Just a few cases have been reported in the literature.

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