Lymphomatoid granulomatosis with rare manifestations. Case report
Keywords:
lymphomatoid granulomatosis, diagnosis, treatmentAbstract
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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1.Liebow AA, Carrington CR, Friedman PJ. Lymphomatoid granulomatosis. Hum Pathol [Internet]. 1972 [citado 25/06/2022];3(4):457‒558. Disponible en: https://pubmed.ncbi.nlm.nih.gov/4638966/. https://doi.org/10.1016/s0046-8177(72)80005-4
2.Rodríguez R, Nimchinsky E, Liu JK, Baisre de León A. Granulomatosis linfomatoide cerebral, con clonalidad del receptor de células T. A propósito de un caso. Arch Patol [Internet]. 2020 [citado 25/06/2022];1(5):2–6. Disponible en: https://archivosdepatologia.com/index.php/ArchPat/article/view/38. https://doi.org/10.47579/AP.20.05.0030
3.García de la Torre M, Bouza Jiménez Y, Acosta País SM, Misa Menéndez M. Granulomatosis linfomatoide. Presentación de un caso. Medisur [Internet]. 2019 [citado 25/06/2022];17(4):586-593. Disponible en: https://www.redalyc.org/journal/1800/180062056016/html/
4.Katzenstein AL, Peiper SC. Detection of Epstein‒Barr virus genomes in lymphomatoid granulomatosis: analysis of 29 cases by the polymerase chain reaction technique. Mod Pathol [Internet]. 1990 [citado 25/06/2022];3(4):435‒441. Disponible en: https://pubmed.ncbi.nlm.nih.gov/2170969
5.Pascua J, Ramírez JI, Méndez J, Bosio M, Salvado A. Sospecha de granulomatosis linfomatoidea. Front Med [Internet]. 2022 [citado 20/10/2022];17(3):211-213. Disponible en: https://adm.meducatium.com.ar/contenido/numeros/8202203_300/pdf/8202203.pdf. https://doi.org/10.31954/RFEM/202203/0211-0213
6.Chavez JC, Sandoval-Sus J, Horna P, Dalia S, Bello C, Chevernick P, et al. Lymphomatoid Granulomatosis: A Single Institution Experience and Review of the Literature. Clin Lymphoma Myeloma Leuk [Internet]. 2016 [citado 25/06/2022];16(Suppl):S170-4. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27521314/. https://doi.org/10.1016/j.clml.2016.02.024
7.Swerdlow SH, Campo E, Pileri SA, Harris NL, Stein H, Siebert R, et al. The 2016 revision of the World Health Organization classification of lymphoid neoplasms. Blood [Internet]. 2016 [citado 25/06/2022];127(20):2375-2390. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874220/. https://doi.org/10.1182/blood-2016-01-643569
8.Lisbona Ortega R, Gómez Zaragoza C, Guasch Arriaga I, Mate Sanz JL, Urbano Rodríguez M, Margelí Cervera V. Linfomas torácicos de presentación extranodal. Seram [Internet]. 2021 [citado 25/06/2022];1(1):2-34. Disponible en: https://piper.espacio-seram.com/index.php/seram/article/view/4183/2649
9.Schoen FJ, Cotran RS. Vasos sanguíneos. En: Cotran RS, Kumar V, Collins T. Patología estructural y funcional. 6a ed. Madrid: McGraw-Hill; 2000. p. 519-569.
10.Salinas J, Leiva I, González S. Proliferaciones linforreticulares del pulmón. Rev Chil Enf Respir [Internet]. 2006 [citado 25/06/2022];22:108-116. Disponible en: http://revchilenfermrespir.cl/pdf/S0717-73482006000200006.pdf
11.Nishihara H, Tateishi U, Itoh T, Nagashima K, Tanaka S. Immunohistochemical and gene rearrangement studies of central nervous system lymphomatoid granulomatosis. Neuropathology [Internet]. 2007 [citado 25/06/2022];27(5):413‒418. Disponible en: https://pubmed.ncbi.nlm.nih.gov/18018473/. https://doi.org/10.1111/j.1440-1789.2007.00804.x
12.Bento de Miguel L. Análisis de factores pronósticos clínicos y biológicos en el linfoma difuso de célula grande B tratado con R-CHOP con o sin radioterapia [tesis doctoral]. Islas Baleares: Universidad de las Islas Baleares; 2019 [citado 25/06/2022]. Disponible en: https://hdl.handle.net/11201/151091
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