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[血管免疫母细胞性淋巴结病。超微结构研究的病例报告(作者译)]

[Angioimmunoblastic lymphadenopathy. Case report with ultrastructural study (author's transl)].

作者信息

Lafuente Martínez M D, Navas Palacios J J, Bonilla Velasco F A, Potenciano Mora J, Tutor Martínez A, Rubio Martínez C

出版信息

Med Clin (Barc). 1980 May 25;74(10):411-14.

PMID:7412434
Abstract

Angioimmunoblastic lymphadenopathy is a rare clinical entity, first described in 1974, characterized by asthenia, anorexia, fever, sweating, generalized lymph node enlargement, hepatosplenomegaly, rash, hypergammaglobulinemia, and often Coomb's positive hemolytic anemia. Main histopathologic findings are lymphoplasmocytic and immunoblastic proliferations, increased vascular neshwork and interstitial granular PAS positive material deposits. A lymph node excised from a woman with angioimmunoblastic lymphadenopathy was examined under electron microscopy. Results of ultrastructural study are compared to the typical histologic pattern observed under light microscopy. Analysis of the cellularity and the significance of fibrous collagen found in the interstitial PAS positive material are commented on.

摘要

血管免疫母细胞性淋巴结病是一种罕见的临床病症,于1974年首次被描述,其特征为乏力、厌食、发热、出汗、全身淋巴结肿大、肝脾肿大、皮疹、高球蛋白血症,且常伴有库姆斯试验阳性的溶血性贫血。主要组织病理学表现为淋巴细胞和免疫母细胞增生、血管网络增多以及间质颗粒状PAS阳性物质沉积。对一名患有血管免疫母细胞性淋巴结病的女性切除的淋巴结进行了电子显微镜检查。将超微结构研究结果与光学显微镜下观察到的典型组织学模式进行了比较。对间质PAS阳性物质中发现的纤维胶原的细胞构成及意义进行了评论。

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