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Report of a rare case of histiocytic necrotizing lymphadenitis with bilateral pleural effusion diagnosed via cervical lymph node biopsy
Liu, Xuchun; Huang, Shubin; Jiang, Guohua.
  • Liu, Xuchun; Chizhou People's Hospital. Department of Respiratory Medicine. Chizhou. CN
  • Huang, Shubin; Chizhou People's Hospital. Department of Pathology. Chizhou. CN
  • Jiang, Guohua; Chizhou People's Hospital. Department of Respiratory Medicine. Chizhou. CN
São Paulo med. j ; 136(4): 368-371, July-Aug. 2018. tab, graf
Article in English | LILACS | ID: biblio-962739
ABSTRACT
ABSTRACT CONTEXT Histiocytic necrotizing lymphadenitis (HNL) is a rare disorder that is often benign and self-limiting. There have been reports of co-occurrence of HNL with other diseases, including systemic lupus erythematosus, hemophagocytic syndrome and antiphospholipid syndrome. CASE REPORT Here, we report a case in which a patient experienced unexplained fever, swelling of the cervical lymph node and bilateral pleural effusion and was ultimately diagnosed with HNL based on results from a lymph node biopsy. After treatment with glucocorticoid, the patient regained normal body temperature, the swelling of the lymph nodes disappeared and the pleural effusion was reabsorbed.

CONCLUSIONS:

The pathogenesis of HNL remains unclear, and pleural effusion is rarely reported in HNL patients. We presented this case to improve diagnostic awareness of this condition among clinicians and help reduce the likelihood of misdiagnosis.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Pleural Effusion / Histiocytic Necrotizing Lymphadenitis / Lymph Nodes Type of study: Diagnostic study Limits: Adult / Female / Humans Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2018 Type: Article Affiliation country: China Institution/Affiliation country: Chizhou People's Hospital/CN

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Full text: Available Index: LILACS (Americas) Main subject: Pleural Effusion / Histiocytic Necrotizing Lymphadenitis / Lymph Nodes Type of study: Diagnostic study Limits: Adult / Female / Humans Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2018 Type: Article Affiliation country: China Institution/Affiliation country: Chizhou People's Hospital/CN