An autopsy case of intravascular lymphomatosis with dermatomyositis

被引：2

作者：

Aoki, A ^{[1
]}

Okamura, M ^{[1
]}

Ueda, D ^{[1
]}

Ohno, S ^{[1
]}

Hagiwara, E ^{[1
]}

Tsuji, T ^{[1
]}

Misumi, M ^{[1
]}

Kawachi, K ^{[1
]}

Sasaki, T ^{[1
]}

Inoue, Y ^{[1
]}

Ishigatsubo, Y ^{[1
]}

机构：

[1] Yokohama City Univ, Sch Med, Dept Internal Med 1, Kanazawa Ku, Yokohama, Kanagawa 2360004, Japan

来源：

INTERNAL MEDICINE | 2002年 / 41卷 / 03期

关键词：

malignant lymphoma; erythema; prednisolone;

D O I：

10.2169/internalmedicine.41.241

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 62-year-old man was admitted to hospital with general malaise,, arthralgia, edema, and high-grade fever. He was diagnosed as dermatomyositis because of typical skin rashes and muscle weakness. His symptoms were improved by high-doses of prednisolone and cyclosporin A, with the exception of the skin rash over the back. High-grade fever developed again when tapering prednisolone. His condition deteriorated gradually. Paresthesia, hypothyroidism, metabolic acidosis, and disseminated intravascular coagulopathy occurred, and he died eight months after the first admission. Postmortem examination revealed intravascular proliferation of atypical mononuclear cells in the lumens of small vessels in all organs. Intravascular lymphomatosis (B cell type) was diagnosed.

引用

页码：241 / 244

页数：4

共 12 条

[1]

Anzai Saburo, 1997, Journal of Dermatology (Tokyo), V24, P649

[2] POLYMYOSITIS AND DERMATOMYOSITIS .1. [J].

BOHAN, A ;

PETER, JB .

NEW ENGLAND JOURNAL OF MEDICINE, 1975, 292 (07) :344-347

[3]

DEMIRER T, 1994, CANCER, V73, P1738, DOI 10.1002/1097-0142(19940315)73:6<1738::AID-CNCR2820730631>3.0.CO

[4]

2-U

[5] POLYMYOSITIS-DERMATOMYOSITIS AND NON-HODGKINS-LYMPHOMA [J].

ENDO, T ;

KAWAGUCHI, N ;

YASHIMA, M ;

TEI, H ;

HAYAKAWA, H .

INTERNAL MEDICINE, 1993, 32 (06) :487-489

[6] The World Health Organization classification of hematological malignancies report of the Clinical Advisory Committee Meeting, Airlie House, Virginia, November 1997 [J].

Harris, NL ;

Jaffe, ES ;

Diebold, J ;

Flandrin, G ;

Muller-Hermelink, HK ;

Vardiman, J ;

Lister, TA ;

Bloomfield, CD .

MODERN PATHOLOGY, 2000, 13 (02) :193-207

[7] Frequency of specific cancer types in dermatomyositis and polymyositis: a population-based study [J].

Hill, CL ;

Zhang, YQ ;

Sigurgeirsson, B ;

Pukkala, E ;

Mellemkjaer, L ;

Airio, A ;

Evans, SR ;

Felson, DT .

LANCET, 2001, 357 (9250) :96-100

[8] AN AUTOPSY CASE OF INTRAVASCULAR LYMPHOMATOSIS (NEOPLASTIC ANGIOENDOTHELIOMATOSIS) ACCOMPANIED BY HIGH FEVER, HYPERTENSION AND WITHOUT FOCAL SIGN [J].

INOOKA, G ;

ISHIKAWA, S ;

SAITO, T ;

SAITO, K ;

KAMOSHIDA, T ;

KUZUYA, T .

INTERNAL MEDICINE, 1992, 31 (05) :666-670

[9] Systemic inflammatory response syndrome in intravascular lymphomatosis [J].

Ip, M ;

Chan, KW ;

Chan, IKL .

INTENSIVE CARE MEDICINE, 1997, 23 (07) :783-786

[10]

ONISHI S, 1997, JPN J CLIN HEMATOL, V38, P582

← 1 2 →