Intravascular lymphoma presenting with postural hypotension
Autor: | Catharine Pearce, Suzy Hope, Joseph Butchart |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Skin Neoplasms
Adrenal disorder medicine.medical_treatment Unusual Association of Diseases/Symptoms Dizziness Diagnosis Differential 03 medical and health sciences Hypotension Orthostatic 0302 clinical medicine Weight loss Medicine Humans 030212 general & internal medicine Aged 80 and over Chemotherapy medicine.diagnostic_test business.industry General Medicine Intravascular lymphoma medicine.disease Neurovascular bundle Vascular Neoplasms Lymphoma 030220 oncology & carcinogenesis Anesthesia Skin biopsy Female Lymphoma Large B-Cell Diffuse medicine.symptom business Autonomic neuropathy |
Popis: | An 84-year-old woman presented with severe postural hypotension. Further assessment revealed weight loss, fatigue and fever at night. On examination, she had bilateral skin lesions on the inner thighs and skin biopsy revealed intravascular high grade B cell lymphoma. This was successfully treated with curative chemotherapy. The cause of the postural hypotension in this case was felt likely to be autonomic neuropathy caused by neurovascular infiltration by intravascular lymphoma. Treatment of the lymphoma has resolved the postural hypotension, although some symptoms of postural instability persist. |
Databáze: | OpenAIRE |
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