Lymphomatoid Granulomatosis in a Patient with Chronic Lymphocytic Leukemia and Rapidly Progressing Peribronchovascular Pulmonary Infiltrates
Joint Authors
Rezvani, Shahab
Tominna, Marie
Al-Katib, Sayf
Smith, Marc D.
Cousineau, Craig
Al-Katib, Ayad
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-01-21
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Lymphomatoid granulomatosis (LG) is an EBV-associated angiodestructive lymphoproliferative disease with multiorgan involvement that predominantly affects the lungs.
We present a case of a 72-year-old man with a history of chronic lymphocytic leukemia who presented with upper respiratory symptoms and multiple erythematous skin papules.
Chest CT showed ill-defined, irregular solid pulmonary nodules with peripheral ground-glass opacities in a peribronchovascular distribution.
The differential for this pattern of lung disease is vast which includes but is not limited to infection, vasculitis, sarcoidosis, lymphoma, and Kaposi sarcoma.
Subsequent PET/CT showed rapid progression of lung opacities and marked FDG uptake of pulmonary opacities and skin nodules, which raised the question of Richter syndrome.
Wedge biopsy under video-assisted thoracoscopic surgery was performed.
Pathology showed an extensive lymphoid infiltrate involving lymphatic and bronchovascular bundles and consisting of a mixture of large lymphocytes and inflammatory cells.
Special stains showed that the large lymphocytes expressed B-cell markers and EBV virus.
Overall, the findings were consistent with LG.
American Psychological Association (APA)
Rezvani, Shahab& Tominna, Marie& Al-Katib, Sayf& Smith, Marc D.& Cousineau, Craig& Al-Katib, Ayad. 2019. Lymphomatoid Granulomatosis in a Patient with Chronic Lymphocytic Leukemia and Rapidly Progressing Peribronchovascular Pulmonary Infiltrates. Case Reports in Pulmonology،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1144000
Modern Language Association (MLA)
Rezvani, Shahab…[et al.]. Lymphomatoid Granulomatosis in a Patient with Chronic Lymphocytic Leukemia and Rapidly Progressing Peribronchovascular Pulmonary Infiltrates. Case Reports in Pulmonology No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1144000
American Medical Association (AMA)
Rezvani, Shahab& Tominna, Marie& Al-Katib, Sayf& Smith, Marc D.& Cousineau, Craig& Al-Katib, Ayad. Lymphomatoid Granulomatosis in a Patient with Chronic Lymphocytic Leukemia and Rapidly Progressing Peribronchovascular Pulmonary Infiltrates. Case Reports in Pulmonology. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1144000
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144000