Journal of investigative medicine high impact case reports · 2021
A Case of Intravascular Diffuse Large B-Cell Lymphoma Initially Suspected as Interstitial Pneumonia Associated With Systemic Scleroderma.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Oguri Tomoyo, Sasada Shinji, Aramaki-Sumii Yuki, Tsuchiya Yumi, Ishioka Kota, Takahashi Saeko, Kunieda Hisako, Kimura Yoshifumi, Seki Reishi, Hirose Shigemichi, Nakamura Morio
Аннотация
Intravascular large B-cell lymphoma (IVLBCL) is a rare form of diffuse LBCL. The patient was a 71-year-old female admitted to our hospital with hypoxia. On admission, chest computed tomography revealed a ground-glass opacity. Interstitial pneumonia associated with systemic scleroderma was suspected because of positive anti-centromere antibody. Thereafter, steroid pulse therapy and plasma exchange were performed. Although ground-glass opacity improved, bilateral pleural effusion appeared, so we performed a random skin biopsy because of her elevated serum lactate dehydrogenase and soluble interleukin-2 receptor levels. The patient was diagnosed with IVLBCL with symptoms improving after 6 cycles of rituximab plus chemotherapy treatment.