Mital D, Desai V
Department of Sexual Health and HIV Medicine, Milton Keynes NHS Foundation Trust, Standing Way, Milton Keynes MK6 5LD, UK.
Case Rep Pathol. 2011;2011:809567. doi: 10.1155/2011/809567. Epub 2011 Sep 22.
We present a case where a diagnosis of advanced HIV led to many other diagnoses but more importantly life-threatening multivariant Castleman's disease which is rare and was successfully treated. This case highlights the importance of questioning and challenging investigations when it does not fit with the clinical picture. Multidisciplinary teams are crucial and always seek expert advice if unsure. The much-quoted adage of "many symptoms and signs will fit one diagnosis" also bodes well in this case.
我们报告了一例晚期艾滋病病例，该病例引发了许多其他诊断，但更重要的是引发了罕见的、危及生命的多型性Castleman病，而该疾病已得到成功治疗。该病例凸显了在检查结果与临床表现不符时进行质疑和挑战的重要性。多学科团队至关重要，如有疑问应始终寻求专家建议。“多种症状和体征可能符合一种诊断”这句常被引用的格言在本病例中也得到了很好的体现。
