CD40LG and enteropathy-associated T-cell lymphoma: One of the rare complications of refractory celiac disease (RCD) is cavitating mesenteric lymph node syndrome (CMLNS), which is associated with a bad prognosis (50% mortality rate) due to many complications such as severe malnutrition, intestinal ulceration that leads to hemorrhage, sepsis due to hyposplenism and reduced IgM memory B-cells [7] as well as lymphoma, most commonly enteropathy-associated T-cell lymphoma (EATL) [8,9].