RESUMO
We describe the case of a 73-year-old woman with constitutional disorder and pain in the lower limbs, leading to initial suspicion of multiple myeloma. During the diagnostic process, there were discrepancies between the clinical course and findings of complementary tests. After a fulminant clinical course for a few days, the patient died, and a postmortem diagnosis of angioimmunoblastic lymphoma was established. We review the main aspects of this highly infrequent disease, the pathogenesis of which remains uncertain.
Assuntos
Linfadenopatia Imunoblástica/diagnóstico , Idoso , Evolução Fatal , Feminino , HumanosRESUMO
Se expone el caso de una paciente de 73 años que presentó cuadro constitucional y dolor en miembros inferiores, con sospecha inicial de mieloma múltiple. Durante el proceso diagnóstico aparecieron discordancias entre la evolución clínica y los hallazgos en pruebas complementarias. Tras un curso clínico fulminante en pocos días, la paciente falleció; se obtuvo el diagnóstico post mórtem de linfoma angioinmunoblástico. Se repasan los aspectos fundamentales de esta patología poco frecuente, de patogenia todavía incierta
We describe the case of a 73-year-old woman with constitutional disorder and pain in the lower limbs, leading to initial suspicion of multiple myeloma. During the diagnostic process, there were discrepancies between the clinical course and findings of complementary tests. After a fulminant clinical course for a few days, the patient died, and a postmortem diagnosis of angioimmunoblastic lymphoma was established. We review the main aspects of this highly infrequent disease, the pathogenesis of which remains uncertain