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以胸膜肺炎为首发表现的血管免疫母细胞性T细胞淋巴瘤

Pleuropneumonia Revealing Angioimmunoblastic T-cell Lymphoma.

作者信息

Salhi Zineb, Thouil Afaf, Lakhal Mohamed, Gartini Sara, Rhazari Meriem, Sadki Ikram, Karrich Nassira, Kouismi Hatim

机构信息

Department of Respiratory Diseases, Centre Hospitalier Universitaire (CHU) Mohammed VI, Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, MAR.

Department of Respiratory Diseases, Laboratory of Research and Medical Sciences, Faculty of Medicine and Pharmacy of Oujda, Mohammed VI University Hospital, Mohammed I University, Oujda, MAR.

出版信息

Cureus. 2025 Mar 8;17(3):e80268. doi: 10.7759/cureus.80268. eCollection 2025 Mar.

Abstract

Angioimmunoblastic T-cell lymphoma (AITL) is a rare form of lymphoma that presents with a wide range of symptoms, including multiple lymphadenopathies, systemic symptoms, splenomegaly, hepatomegaly, and skin rashes. Due to its atypical presentation, diagnosis can be delayed, and confirmation relies on lymph node biopsy. While no specific risk factors or etiological agents have been identified, early diagnosis and appropriate treatment, such as polychemotherapy, can lead to a favorable prognosis. This case report describes an instance of AITL diagnosed following the onset of pleuropneumopathy, emphasizing the importance of considering lymphoma in the differential diagnosis of pleuropulmonary conditions.

摘要

血管免疫母细胞性T细胞淋巴瘤(AITL)是一种罕见的淋巴瘤形式,表现出广泛的症状,包括多处淋巴结病、全身症状、脾肿大、肝肿大和皮疹。由于其表现不典型,诊断可能会延迟,确诊依赖于淋巴结活检。虽然尚未确定具体的危险因素或病因,但早期诊断和适当的治疗,如多药化疗,可带来良好的预后。本病例报告描述了一例在胸膜炎性肺病发作后诊断出的AITL病例,强调了在胸膜肺部疾病的鉴别诊断中考虑淋巴瘤的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d19/11977439/81b44f093ce5/cureus-0017-00000080268-i01.jpg

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