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模拟血管炎的血管内淋巴瘤。

Intravascular lymphoma simulating vasculitis.

作者信息

Walker U A, Herbst E W, Ansorge O, Peter H H

机构信息

Department of Rheumatology and Clinical Immunology, University of Freiburg, Germany.

出版信息

Rheumatol Int. 1994;14(3):131-3. doi: 10.1007/BF00300816.

Abstract

The case history of a patient with intravascular lymphoma (IL) is reported. Signs of a systemic illness including fever, muscular weakness, telangiectasias, nephrotic syndrome, and neurologic manifestation suggested vasculitis. Cyclophosphamide treatment produced almost complete remission, but the patient died of respiratory failure 13 months after presentation due to lung involvement. The diagnosis was not revealed until postmortem examination. The differential diagnosis of IL is provided.

摘要

报告了一例血管内淋巴瘤(IL)患者的病例史。包括发热、肌肉无力、毛细血管扩张、肾病综合征和神经表现在内的全身疾病体征提示血管炎。环磷酰胺治疗几乎完全缓解,但患者在就诊13个月后因肺部受累死于呼吸衰竭。直到尸检才确诊。提供了IL的鉴别诊断。

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