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病例报告:霍奇金淋巴瘤中的胆管消失综合征:一例以黄疸和淋巴结病为早期线索的病例

Case Report: Vanishing bile duct syndrome in Hodgkin's lymphoma: a case highlighting jaundice and lymphadenopathy as early clues.

作者信息

Ma Shiyu, Cai Dali, Miao Yuan, Deng Baocheng, Yan Xiaojing, Gao Ran

机构信息

Department of Hematology, The First Hospital of China Medical University, Shenyang, Liaoning, China.

Department of Pathology, The First Hospital of China Medical University, Shenyang, Liaoning, China.

出版信息

Front Immunol. 2025 May 21;16:1561110. doi: 10.3389/fimmu.2025.1561110. eCollection 2025.

Abstract

Vanishing bile duct syndrome is a specific pathologic process characterized by ductopenia and intrahepatic cholestasis, which may be a unique paraneoplastic syndrome of Hodgkin's lymphoma with an unfavorable prognosis. We report a 34-year-old woman with acute jaundice and lymphadenopathy, which was subsequently confirmed to be Hodgkin's lymphoma with concurrent vanishing bile duct syndrome based on a liver biopsy. The patient agreed to combination chemotherapy with brentuximab vedotin and achieved a complete response. Liver function recovered within 4 months. This article reviews the literature and provides insight for addressing similar clinical challenges.

摘要

胆管消失综合征是一种以胆管减少和肝内胆汁淤积为特征的特定病理过程,可能是霍奇金淋巴瘤的一种独特的副肿瘤综合征,预后不良。我们报告一名34岁女性,出现急性黄疸和淋巴结病,随后经肝活检证实为霍奇金淋巴瘤并发胆管消失综合征。患者同意接受苯达莫司汀与维布妥昔单抗联合化疗并获得完全缓解。肝功能在4个月内恢复。本文回顾了相关文献,并为应对类似临床挑战提供了见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6077/12133851/279aaec908f7/fimmu-16-1561110-g001.jpg

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