Hodgkin’s lymphoma with lymphocyte depletion and diffuse bone marrow infiltration

We present the case of a 38 year-old male, farmer, born in Lamas, San Martin (Peruvian jungle), who for the past 8 months suffered of diarrhea, intermittent fever, abdominal pain, weight loss and severe anemia. On admission the patient was lucid and exhibited malaise, pallor and generalized lymphade...

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Detalles Bibliográficos
Autores: Carballo, Fernando, López, Rubén, Mechán, Victor, Vilchez, Luis
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2011
País:Perú
Institución:Universidad Nacional Mayor de San Marcos
Repositorio:Revistas - Universidad Nacional Mayor de San Marcos
Idioma:español
OAI Identifier:oai:revistasinvestigacion.unmsm.edu.pe:article/995
Acceso en línea:https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/995
Access Level:acceso abierto
Palabra clave:Hodgkin lymphoma with lymphocytic depletion
lymphoproliferative syndrome
Reed Sternberg cells
EBV Epstein-Barr virus.
Linfoma de Hodgkin con depleción linfocítica
síndrome linfoproliferativo
células de Reed Sternberg
EBV-virus de Epstein Barr.
Descripción
Sumario:We present the case of a 38 year-old male, farmer, born in Lamas, San Martin (Peruvian jungle), who for the past 8 months suffered of diarrhea, intermittent fever, abdominal pain, weight loss and severe anemia. On admission the patient was lucid and exhibited malaise, pallor and generalized lymphadenopathy (size less than 0.5 cm) hepatosplenomegaly and abdominal displaceable dullness. Abdominal computed tomography showed hepatosplenomegaly and retroperitoneal, mesenteric and other adenopathies. Node biopsy revealed Reed-Sternberg cells, mononuclear cells, eosinophiles and scarce lymphocytes. Immunohistochemical node staining was positive for CD15 and CD30 antibodies. Bone biopsy showed diffuse fibrosis, mononuclear cells and scarcity of lymphocytes. In situ hybridization for EBV Epstein Barr virus was positive in neoplastic cells.