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題 名 | Intravascular Lymphomatosis Mimicking Acute Disseminated Encephalomyelitis: A Case Report=血管內淋巴瘤類似急性播散性腦脊髓炎表現--病例報告 |
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作 者 | 許永祥; 曾柏元; 徐偉成; 顏寶勝; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 21:2 民94.02 |
頁 次 | 頁93-97 |
分類號 | 415.641 |
關鍵詞 | 血管內淋巴瘤; 播散性腦脊髓炎; Intravascular lymphomatosis; Disseminated encephalomyelitis; |
語 文 | 英文(English) |
中文摘要 | 我們報告一例 49 歲女性診斷為血管內淋巴瘤之臨床表現、放射線學檢查及解剖所見。本病人以進行性四肢無力之後續發成播散性大腦神經症狀,生前的臨床及放射線檢查診斷為擴散性脊髓炎,給予類固醇脈波治療和靜脈內免疫球蛋白注射,但並未有反應。三個月後死於多重器官衰竭,解剖標本以組織病理及免疫組織化學染色證實為血管內大型 B 細胞淋巴瘤。 |
英文摘要 | We describe the clinical, radiologic, and postmortem findings in a 49-year-old woman with intravascular lymphomatosis. The patient presented with progressive limb weakness followed by progressive disseminated cerebral neurologic symptoms. Disseminated encephalomyelitis was suspected due to the clinical and radiologic findings. Steroid pulse therapy and intravenous immunoglobulin were given but did not help. The patient died of multiple organ failure 3 months after the onset of symptoms. A diagnosis of disseminated intravascular large B-cell lymphomatosis was established based on findings from histopathology and immunohistochemistry studies on autopsy specimens of the brain and other visceral organs collected postmortem. |
本系統中英文摘要資訊取自各篇刊載內容。