QJM Advance Access originally published online on April 1, 2008
QJM 2008 101(6):508-510; doi:10.1093/qjmed/hcn038
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
© The Author 2008. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Multiorgan failure caused by intravascular lymphoma
| The first 10% of the full text of this article appears below. |
Sir,
Introduction
Intravascular lymphoma (IVL) is a rare aggressive non-Hodgkin's lymphoma with varied clinical presentation and propensity of multiorgan involvement predominantly affects elderly patients.1,2 Nearly 300 cases have been notified worldwide but its prevalence is certainly under-estimated.
We report a fatal case of IVL presenting as a multiorgan failure and review the current literature with the aim to increase awareness and prompt early detection of this highly rare lymphoma.
Case report
A 72-year-old healthy man was hospitalized for progressive asthenia and dementia evolving during the last month. On admission, the patient complained of myalgia and diarrhea. Biological abnormalities includes: neutrophil count = 1.1 x 109/1, lymphocyte count
Discussion
Department of Intensive Care
Department of Pathology
Hospital of Mulhouse
Department of Internal Medicine
Clinique Médicale B
University Hospital of Strasbourg
France
email: emmanuel.andres@chru-strasbourg.fr