[The 497th case: fever, anterior hypopituitarism, lymphadenopathy].
Zhonghua Nei Ke Za Zhi
; 61(7): 836-839, 2022 Jul 01.
Article
em Zh
| MEDLINE
| ID: mdl-35764573
ABSTRACT
A 57-year-old woman was admitted to hospital with fever. She still had fever treated with multiple antibiotics, and no definite evidence for infection was found. Hypothermia and hypotension developed, and magnetic resonance imaging (MRI) examination showed enlarged anterior pituitary and multiple small nodular lesions with mild enhancement on the left side. Hormone replacement and anti-infection treatment were administrated, but fever did not improve. Remarkable lymphadenopathy was found in left supraclavicular area. The pathology of lymph node biopsy indicated peripheral T-cell lymphoma (not otherwise specified, NOS). Positron emission tomography-computed tomography (PET-CT) revealed hypermetabolism in multiple lymph nodes, infiltration of the liver and spleen. The final diagnosis were peripheral T-cell lymphoma with involvement of liver and spleen (stage â
£) and anterior hypopituitarism. After chemotherapy, fever alleviated and the function of anterior pituitary recovered gradually.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Linfoma de Células T Periférico
/
Linfadenopatia
/
Hipopituitarismo
Tipo de estudo:
Etiology_studies
Limite:
Female
/
Humans
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Middle aged
Idioma:
Zh
Ano de publicação:
2022
Tipo de documento:
Article