Minerbrook M, Budman D R, Schulman P, Vinciguerra V, Degnan T J, Coffey E
Cancer. 1983 May 15;51(10):1927-30. doi: 10.1002/1097-0142(19830515)51:10<1927::aid-cncr2820511028>3.0.co;2-x.
An elderly woman with angioimmunoblastic lymphadenopathy with dysproteinemia (AILD) presented de novo with DIC in the absence of other etiologic causes for DIC. Complete reversal of the defibrination process occurred with vincristine, methyl-prednisolone, and heparin therapy. This case illustrates that defibrination can occur de novo in the presence of a clinically, although not pathologically, malignant process. AILD should be considered in the differential diagnosis of DIC.
一名患有血管免疫母细胞性淋巴结病伴蛋白血症（AILD）的老年女性在无其他弥散性血管内凝血（DIC）病因的情况下初发DIC。通过长春新碱、甲基泼尼松龙和肝素治疗，去纤维蛋白过程完全逆转。该病例表明，在存在临床（而非病理）恶性过程的情况下可初发去纤维蛋白现象。在DIC的鉴别诊断中应考虑AILD。
