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Coeliac disease (CD) is an immune-mediated condition that causes damage to the small intestine upon gluten consumption by genetically susceptible individuals. To determine whether there is an active coeliac disease or the presence of additional pathologies, patients must undergo regular evaluations, including repeat endoscopy. In this analysis, we present a case study of a 75-year-old woman from England who was diagnosed with coeliac disease later in life. She carries the HLA-DQ2 genetic marker and developed type 2 enteropathy-associated T-cell lymphoma (EATL) 12 months after her diagnosis of coeliac disease., Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Muhammed et al.)