Lymphomatoid granulomatosis with rare manifestations. Case report

Authors

Keywords:

lymphomatoid granulomatosis, diagnosis, treatment

Abstract

Introduction: lymphomatoid granulomatosis is a very rare disease; This is the first case reported in the hospital.
Patient information: 44-year-old male, with a health history and no toxic habits, who began with respiratory symptoms, dermatological lesions, constitutional syndrome and flaccid paraplegia. Complementary examinations showed pancytopenia, and the chest x-ray and tomography showed an image suggestive of lung metastasis; An MRI showed a compressive lesion at the dorsal level. The anatomopathological studies of the skin and lung showed a lymphomatoid granulomatosis with medullary invasion. The patient was treated with chemotherapy and died abruptly one month after it began.
Conclusions: lymphomatoid granulomatosis is a rare disease currently considered a lymphoid neoplasm associated with Epstein-Barr virus and large B cell lymphoma. It occurs in this patient accompanied by neurological injury; The diagnosis was only possible by anatomopathological studies. It was impossible to perform an autopsy due to family refusal.

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Author Biographies

Pedro Rosales Torres, Hospital Provincial Clínico Quirúrgico Universitario “Manuel Ascunce Domenech”

Especialista de I y II Grado en Anatomía Patológica. Especialista de II Grado en Oncología. Máster en Citopatología. Profesor Instructor en la Universidad de Ciencias Médicas de Camagüey.

Pedro León Acosta, Hospital Provincial Clínico Quirúrgico Universitario “Manuel Ascunce Domenech”

Especialista de I y II Grado en Medicina Interna. Especialista de II Grado en Medicina Intensiva y Emergencias. Máster en Nutrición Clínica. Profesor Auxiliar en la Universidad de Ciencias Médicas de Camagüey. Investigador Agregado.

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Published

2024-01-25

How to Cite

1.
Rosales Torres P, León Acosta P. Lymphomatoid granulomatosis with rare manifestations. Case report. Acta Méd Centro [Internet]. 2024 Jan. 25 [cited 2025 Jul. 2];18(1):e1912. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/1912

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Section

Case Reports