Fajac I, Cadranel J L, Mariette X, Tulliez M, Cesari D, Akoun G, Bernaudin J F
Department of Chest Diseases, Hôpital Tenon, Paris, France.
Chest. 1992 Dec;102(6):1913-4. doi: 10.1378/chest.102.6.1913.
We report herein the pulmonary recurrence of Hodgkin's disease coincidental with a marked decrease in the peripheral blood CD4 lymphocyte count in an HIV-seropositive patient with alveolar consolidation on chest roentgenogram. The diagnosis of lung parenchyma involvement was made by bronchoalveolar lavage cell analysis and illustrates the reliability of Reed-Sternberg cell identification in bronchoalveolar lavage for the diagnosis of pulmonary localization of Hodgkin's disease.
我们在此报告1例HIV血清学阳性患者,胸部X线片显示肺泡实变,其霍奇金淋巴瘤肺部复发,同时外周血CD4淋巴细胞计数显著下降。通过支气管肺泡灌洗细胞分析诊断肺实质受累,这说明了在支气管肺泡灌洗中识别里德-施特恩伯格细胞对诊断霍奇金淋巴瘤肺部定位的可靠性。