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  • A rare case of intravascular large B-cell lymphoma in the practice of a rheumatologist (clinical case)

    Редактор | 2021, Brief reports, Practical medicine part 19 №5. 2021 | 3 декабря, 2021

    L.V. TITOVA1,2, S.N. IVANOVA1,2, S.A. GLADKOV1,2, YU.B. LOCHOVA2

     1Northern State Medical University, Arkhangelsk, Russia

    2Arkhangelsk Regional Clinical Hospital, Arkhangelsk, Russia

     Contact details:

    Ivanova S.N. — PhD (medicine), Associate Professor of the Department of Hospital Therapy and Endocrinology

    Address: 51 Troitsky prospekt, Arkhangelsk, Russian Federation, 163045, tel.: +7 (8182) 285-951, e-mail: sivanova09@mail.ru

    The purpose — to present literature data on the peculiarities of diagnosis and the course of a rare intravascular large B-cell lymphoma (ICBCCL), as well as a clinical case.

    Material and methods. The article presents a description of the clinical observation of ICBCCL under the guise of a rheumatological disease, verified at autopsy by an immunohistochemical method.

    Conclusion. The article is of interest to practitioners, since ICBCCL is a rare form of diffuse large B-cell lymphomas with varied clinical and aggressive course. The key diagnostics for ICBCCL is skin biopsy and immunohistochemical examination.

    Key words: systemic lupus erythematosus, idiopathic paraneoplastic dermatomyositis, intravascular large B-cell lymphoma, telangiectasia. 

    REFERENCES

    1. Ivanova S.N., Gladkov S.A., Brovkov M.N. Intravascular large B-cell lymphoma: different clinical masks of paraneoplastic syndrome. Prakticheskaya meditsina, 2020, vol. 18, no. 1, pp. 110–115 (in Russ.).
    2. Ivanova S.N., Gladkov S.A., Titova L.V. et al. Difficulties in the diagnosis of intravascular large B-cell lymphoma under the guise of dementia against the background of an intestinal tumor (a case from practice). Prakticheskaya meditsina, 2020, vol. 18, no.4, pp. 107–110 (in Russ.).
    3. Krivolapov Yu.A., Ivanyuk A.V. Intravascular large B-cell lymphoma: case description. Voprosy onkologii, 2003, vol. 49, no. 6, pp. 743–747 (in Russ.).
    4. Guseva N.G. The problem of the association of rheumatic and oncological diseases (pathogenetic and clinical aspects). Nauchno-prakticheskaya revmatologiya, 2004, no. 4, pp. 60–67 (in Russ.).
    5. Ponzoni M., Campo E., Nakamura S. Intravascular large B-cell lymphoma: a chameleon with multiple faces and many masks. Blood, 2018, vol. 132 (15), pp. 1561–1567.
    6. Zuckerman D., Seliem R., Hochberg E. Intravascular Lymphoma: The Oncologist’s «Great Imitator». The Oncologist, 2006, vol. 11 (5), pp. 496–502.
    7. Cathébras P.I, Laurent H., Guichard I. Br.J. Generalized telangiectasia revealing intravascular large B-cell lymphoma. Haematol, 2013, Apr, vol. 161 (2), p. 155.

    Метки: 2021, idiopathic paraneoplastic dermatomyositis, intravascular large B-cell lymphoma, L.V. TITOVA, Practical medicine part 19 №5. 2021, S.A. GLADKOV, S.N. IVANOVA, systemic lupus erythematosus, telangiectasia, YU.B. LOCHOVA

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