Cover Image

CASTLEMAN'S DISEASE- A RARE ENTITY

RAJA .

Abstract


Abstract : Castleman's disease is a lymphoma-like disorder which can present as a localised or generalised  lymphadenopathy, along with systemic symptoms. It is  postulated to be associated with HHV 8 virus.We present to you a case of Castleman's disease, who presented to us with abdominal distension and lymphadenopathy involving supraclavicular and axillary nodes. On examination, patient had pallor and multiple supraclavicular, axillary and inguinal nodes enlarged. Investigations revealed anemia, relative lymphocytosis with normal renal and liver function tests.    Imaging studies revealed a right side pleural effusion and ascites. Histopathology of lymph node specimen showed angiolymphoid follicular hyperplasia, suggestive of   Castleman's disease supported by immunohistochemistry.

Keyword :Castleman's disease, angiolymphoid follicular hyperplasia

 


Full Text:

PDF

References


Weisenburger DD, Nathwani BN, Winberg CD, Rappaport H.Multicentric angiofollicular lymph node hyperplasia: a clinicopathologic study of 16 cases. Hum Pathol 1985; 16:162-172

Keller AR, Hochholzer L, Castleman B. Hyaline-vascular and plasma-cell types of giant node hyperplasia of the mediastinium and other locations. Cancer 1972:29:670-683

Lachant NA, Sun NC, Leong LA, Oseas RS, Prince HE. Multicentric Angiofollicular lymph node hyperplasia (Castleman’s disease) followed by Kaposi’s sarcoma in two homosexual males with the acquired immunodeficiency syndrome (AIDS). Am J Clin Pathol 1985; 83:27:3312)

Pavlidis NA, Skopouli FN, Bai MC, Bourantas CL. A successfully treated case of multicentric Angiofollicular hyperplasia with oral chemotherapy (Castleman’s disease). Med Pediatr Oncol 1990; 18:333-335

Parravicini C., Corbellino, M., Paulli, M., Magrini, U., Lazzarino, M., Moore, P. & chang. (1997) Expression of a virus-derived cytokine, KSHV viL-6, in HIV- seronegative Castleman’s disease. American Journal of Pathology, 151, 1517-1522

Harris NL, Bhan AK : “Plasmacytoid T cells” in Castleman’ s disease. Immunohistologic phenotype. Am J Surg Pathol 11 :109- 113, 1987

Frizzera G : Castleman’ s disease and related disorders. Semin Diagn Pathol 5 : 346- 364, 1988

Hall PA, Donaghy M, Cotter FE, Stansfeld AG, Levison DA. An immunohistological and genotypic study of the plasma cell form of Castleman s disease. Histopathology l989; 14:333-46.

McCarty MJ, Vukelja SJ, Banks PM, Weiss RB. Angiofollicular lymph node hyperplasia (Castleman s disease). Cancer Treat Rev 1995;21:291-301 .

MODERN RHEUMATOLOGY:volume 17, Number 5, 418-421, DOI: 10.1007/s10165-007-0599-2

Isaacson PG. Castleman s disease, Commentary. Histopathology 1989;14:429-32.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An initiative of The Tamil Nadu Dr M.G.R. Medical University