LYMPH-NODE HISTOLOGY SIMULATING T-CELL LYMPHOMA IN ADULT-ONSET STILLS DISEASE

被引:17
作者
REICHERT, LJM
KEUNING, JJ
VANBEEK, M
VANRIJTHOVEN, AWAM
机构
[1] ST JOSEPH HOSP,DEPT INTERNAL MED,POB 777,5500 MB VELDHOVEN,NETHERLANDS
[2] CATHOLIC UNIV NIJMEGEN,HOSP ST RADBOUD,DEPT INTERNAL MED,NIJMEGEN,NETHERLANDS
[3] STICHTING PAMM,DEPT PATHOL,EINDHOVEN,NETHERLANDS
[4] ST JOSEPH HOSP,DEPT RHEUMATOL,VELDHOVEN,NETHERLANDS
关键词
ADULT-ONSET STILLS DISEASE; LYMPHADENOPATHY; T-CELL LYMPHOMA;
D O I
10.1007/BF01715128
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A patient with adult-onset Still's disease (AOSD) underwent lymph node biopsy as part of initial evaluation for fever of unknown origin. The lymph node histology showed a massive, diffuse immunoblastic hyperplasia, simulating T-cell lymphoma. This nodal histology differs from rheumatoid arthritis, where mostly a follicular B-cell reaction predominates. Evaluating fever of unknown origin when one is unacquainted with this massive immunoblastic hyperplasia can lead to the wrong diagnosis of T-cell lymphoma in patients with AOSD.
引用
收藏
页码:53 / 54
页数:2
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