Burkitt lymphoma presenting with fever of unknown origin and isolated hypoglossal nerve palsy
Autor: | Rachel H. Adler, Kathleen Seneca, Ronald Nahass |
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Rok vydání: | 2019 |
Předmět: |
Male
medicine.medical_specialty Physical examination Hypoglossal Nerve Diseases Fever of Unknown Origin Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Medicine Humans 030212 general & internal medicine Fever of unknown origin Clinical syndrome Pathological General Nursing Hypoglossal Nerve Palsy 030504 nursing medicine.diagnostic_test business.industry General Medicine Middle Aged medicine.disease Dermatology Burkitt Lymphoma Lymphoma B symptoms Etiology medicine.symptom 0305 other medical science business |
Zdroj: | Journal of the American Association of Nurse Practitioners. 32(5) |
ISSN: | 2327-6924 |
Popis: | Fever of unknown origin (FUO) continues to present a clinical conundrum for even expert practitioners. The syndrome of FUO has over 200 possible etiologies. Burkitt lymphoma (BL) is a highly aggressive B-cell non-Hodgkin lymphoma with only 1,200 US adult cases reported annually. Fever, night sweats, and weight loss, otherwise known as B symptoms, are common early symptoms of BL. Nerve palsy, especially isolated hypoglossal nerve palsy (IHNP), is rarely seen as a presenting sign in any pathological condition. A case report of FUO and IHNP as the presenting manifestations of BL is presented. The rarity of IHNP and its clinical features delayed the recognition of this syndrome and emphasizes the value of a thorough understanding of the physical examination and the association of unusual clinical findings with a readily identifiable clinical syndrome. |
Databáze: | OpenAIRE |
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