Lee K S, Tobin M S, Chen K T, Ahmed F, Gomez-Leon G
Am J Med. 1982 Aug;73(2):290-4. doi: 10.1016/0002-9343(82)90191-7.
A patient with Hodgkin's disease associated with low glucocerebrosidase levels in the peripheral leukocytes, and Gaucher's cells in the bone marrow and lymph nodes, is described. After MOPP therapy, complete remission of Hodgkin's disease was accompanied by normalization of the glucocerebrosidase level and disappearance of Gaucher's cells. This observation appears unique when compared with the four cases of combined Hodgkin's and Gaucher's disease reported in earlier literature in which Gaucher's disease remained unchanged after chemotherapy. We conclude that our patient had Hodgkin's disease and acquired Gaucher's cells with diminished glucocerebrosidase levels, rather than a combination of Hodgkin's disease and Gaucher's disease.
本文描述了一名患有霍奇金病的患者,其外周血白细胞中葡萄糖脑苷脂酶水平较低,骨髓和淋巴结中有戈谢细胞。MOPP治疗后,霍奇金病完全缓解,同时葡萄糖脑苷脂酶水平恢复正常,戈谢细胞消失。与早期文献报道的4例霍奇金病合并戈谢病病例相比,该观察结果似乎独一无二,在那些病例中,化疗后戈谢病并无变化。我们得出结论,我们的患者患有霍奇金病,并获得了葡萄糖脑苷脂酶水平降低的戈谢细胞,而非霍奇金病与戈谢病的联合。