A comorbid case of multicentric Castleman's disease and pulmonary hyalinising granuloma successfully treated with tocilizumab and corticosteroid
Identifieur interne : 002884 ( Main/Exploration ); précédent : 002883; suivant : 002885A comorbid case of multicentric Castleman's disease and pulmonary hyalinising granuloma successfully treated with tocilizumab and corticosteroid
Auteurs : Naoko Takeuchi [Japon] ; Toru Arai [Japon] ; Masanori Kitaichi [Japon] ; Yoshikazu Inoue [Japon]Source :
- BMJ Case Reports [ 1757-790X ] ; 2013-09-26.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Anticorps monoclonaux humanisés (usage thérapeutique), Association de médicaments, Biopsie, Diagnostic différentiel, Glucocorticoïdes (usage thérapeutique), Granulome (), Granulome (diagnostic), Granulome (traitement médicamenteux), Humains, Maladies pulmonaires (), Maladies pulmonaires (diagnostic), Maladies pulmonaires (traitement médicamenteux), Mâle, Noeuds lymphatiques (anatomopathologie), Tomodensitométrie.
- MESH :
- anatomopathologie : Noeuds lymphatiques.
- diagnostic : Granulome, Maladies pulmonaires.
- traitement médicamenteux : Granulome, Maladies pulmonaires.
- usage thérapeutique : Anticorps monoclonaux humanisés, Glucocorticoïdes.
- Adulte d'âge moyen, Association de médicaments, Biopsie, Diagnostic différentiel, Granulome, Humains, Maladies pulmonaires, Mâle, Tomodensitométrie.
English descriptors
- KwdEn :
- Antibodies, Monoclonal, Humanized (therapeutic use), Biopsy, Castleman Disease (complications), Castleman Disease (diagnosis), Castleman Disease (drug therapy), Diagnosis, Differential, Drug Therapy, Combination, Glucocorticoids (therapeutic use), Granuloma (complications), Granuloma (diagnosis), Granuloma (drug therapy), Humans, Lung Diseases (complications), Lung Diseases (diagnosis), Lung Diseases (drug therapy), Lymph Nodes (pathology), Male, Middle Aged, Tomography, X-Ray Computed.
- MESH :
- chemical , therapeutic use : Antibodies, Monoclonal, Humanized, Glucocorticoids.
- complications : Castleman Disease, Granuloma, Lung Diseases.
- diagnosis : Castleman Disease, Granuloma, Lung Diseases.
- drug therapy : Castleman Disease, Granuloma, Lung Diseases.
- pathology : Lymph Nodes.
- Teeft :
- Biopsy, Comorbid, Corticosteroid, Diagnosis, Differential, Drug Therapy, Combination, Follicle, Germinal, Germinal centres, Granuloma, Gure, Humanised antihuman receptor, Humans, Hyalinising, Hyalinising granuloma, Hyalinous, Lesion, Lymph, Lymph node, Lymphadenopathy, Lymphoid, Lymphoid cells, Macule, Male, Middle Aged, Multicentric, Multicentric disease, National hospital organization chest, Ndings, Node, Nodular lesion, Nodule, Opacity, Plasma cell type, Plasma cells, Pulmonary hyalinising granuloma, Pulmonary hyalinizing granuloma, Reactive, Reactive protein, Receptor, Sakai, Surgical lung biopsy, Takeuchi, Tocilizumab, Tomography, X-Ray Computed, Weight loss.
Abstract
A 49-year-old man with superficial lymphadenopathy presented with symptoms of low-grade fever, general fatigue and weight loss. On examination, multiple superficial lymphadenopathies and brown macules were observed on the trunk. Laboratory studies revealed an elevation of serum C reactive protein and interleukin 6 (IL-6) in addition to polyclonal hyperimmunoglobulinaemia. High-resolution CT of the chest showed bilateral multiple nodules and patchy ground-glass opacities with interstitial thickening. Biopsy of the cervical lymph node and skin biopsy showed numerous perivascular plasma cells, which were characteristic of the plasma cell type of Castleman's disease. Surgical lung biopsy showed hyalinising granuloma, which are hyalinous nodular lesions surrounded by lymphoid cells. He was diagnosed with multicentric Castleman's disease complicated by pulmonary hyalinising granulomas; his symptoms improved by treatment with tocilizumab, which is a humanised antihuman IL-6 receptor monoclonal antibody and corticosteroid. This is the first report of a comorbid case successfully treated with tocilizumab and corticosteroid.
Url:
DOI: 10.1136/bcr-2013-010233
Affiliations:
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Le document en format XML
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<term>Castleman Disease (drug therapy)</term>
<term>Diagnosis, Differential</term>
<term>Drug Therapy, Combination</term>
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<term>Lung Diseases (drug therapy)</term>
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<term>Association de médicaments</term>
<term>Biopsie</term>
<term>Diagnostic différentiel</term>
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<term>Granulome (diagnostic)</term>
<term>Granulome (traitement médicamenteux)</term>
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<term>Maladies pulmonaires (diagnostic)</term>
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<term>Noeuds lymphatiques (anatomopathologie)</term>
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<term>Lesion</term>
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<term>Lymphadenopathy</term>
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<term>Lymphoid cells</term>
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<term>Male</term>
<term>Middle Aged</term>
<term>Multicentric</term>
<term>Multicentric disease</term>
<term>National hospital organization chest</term>
<term>Ndings</term>
<term>Node</term>
<term>Nodular lesion</term>
<term>Nodule</term>
<term>Opacity</term>
<term>Plasma cell type</term>
<term>Plasma cells</term>
<term>Pulmonary hyalinising granuloma</term>
<term>Pulmonary hyalinizing granuloma</term>
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<term>Reactive protein</term>
<term>Receptor</term>
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<term>Surgical lung biopsy</term>
<term>Takeuchi</term>
<term>Tocilizumab</term>
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<term>Weight loss</term>
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<term>Biopsie</term>
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<front><div type="abstract">A 49-year-old man with superficial lymphadenopathy presented with symptoms of low-grade fever, general fatigue and weight loss. On examination, multiple superficial lymphadenopathies and brown macules were observed on the trunk. Laboratory studies revealed an elevation of serum C reactive protein and interleukin 6 (IL-6) in addition to polyclonal hyperimmunoglobulinaemia. High-resolution CT of the chest showed bilateral multiple nodules and patchy ground-glass opacities with interstitial thickening. Biopsy of the cervical lymph node and skin biopsy showed numerous perivascular plasma cells, which were characteristic of the plasma cell type of Castleman's disease. Surgical lung biopsy showed hyalinising granuloma, which are hyalinous nodular lesions surrounded by lymphoid cells. He was diagnosed with multicentric Castleman's disease complicated by pulmonary hyalinising granulomas; his symptoms improved by treatment with tocilizumab, which is a humanised antihuman IL-6 receptor monoclonal antibody and corticosteroid. This is the first report of a comorbid case successfully treated with tocilizumab and corticosteroid.</div>
</front>
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<tree><country name="Japon"><noRegion><name sortKey="Takeuchi, Naoko" sort="Takeuchi, Naoko" uniqKey="Takeuchi N" first="Naoko" last="Takeuchi">Naoko Takeuchi</name>
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<name sortKey="Arai, Toru" sort="Arai, Toru" uniqKey="Arai T" first="Toru" last="Arai">Toru Arai</name>
<name sortKey="Inoue, Yoshikazu" sort="Inoue, Yoshikazu" uniqKey="Inoue Y" first="Yoshikazu" last="Inoue">Yoshikazu Inoue</name>
<name sortKey="Kitaichi, Masanori" sort="Kitaichi, Masanori" uniqKey="Kitaichi M" first="Masanori" last="Kitaichi">Masanori Kitaichi</name>
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