Kishimoto Mitsumasa, Prasertsuntarasai Theerapol, Gelber Rebecca, Tanabe Anne, Gallacher T Scott
Department of Rheumatology, NYU School of Medicine, New York, New York 10016, USA.
Am J Med Sci. 2004 Dec;328(6):354-6. doi: 10.1016/s0002-9629(15)33947-1.
Diffuse large B-cell lymphoma initially appears with intrathoracic manifestations in up to 26% of patients. However, pulmonary involvement with hematologic malignancies rarely manifests clinically as acute respiratory distress syndrome (ARDS). We report a case of diffuse large B-cell lymphoma manifesting as ARDS in a 39-year-old Filipina woman. This case illustrates the importance of including lymphoma in the differential diagnosis of otherwise unexplained ARDS. Early recognition and prompt treatment may affect survival.
弥漫性大B细胞淋巴瘤最初在高达26%的患者中表现为胸内症状。然而，血液系统恶性肿瘤累及肺部临床上很少表现为急性呼吸窘迫综合征（ARDS）。我们报告一例39岁菲律宾女性弥漫性大B细胞淋巴瘤表现为ARDS的病例。该病例说明了在原因不明的ARDS鉴别诊断中纳入淋巴瘤的重要性。早期识别和及时治疗可能影响生存。
