Renal infarction due to polyarteritis nodosa in a patient with angioimmunoblastic T-cell lymphoma a case report and a brief review of the literature 英文参考文献.docVIP

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Renal infarction due to polyarteritis nodosa in a patient with angioimmunoblastic T-cell lymphoma a case report and a brief review of the literature 英文参考文献.doc

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Renal infarction due to polyarteritis nodosa in a patient with angioimmunoblastic T-cell lymphoma a case report and a brief review of the literature 英文参考文献

Ambrosioetal.DiagnosticPathology2012,7:50 /content/7/1/50 CASE REPORT OpenAccess Renalinfarctionduetopolyarteritisnodosaina patientwithangioimmunoblasticT-cell lymphoma:acasereportandabriefreviewof theliterature MariaRaffaellaAmbrosio1*,BrunoJimRocca1,AlessandroGinori1,MonicaOnorati1,AlbertoFabbri2, MarioCarmellini3,StefanoLazzi1andSergioTripodi1 Abstract: AngioimmunoblasticT-celllymphomaisoneofthemostcommonsubtypesofperipheralT-celllymphoma(15-20% ofallcases),accountingforapproximately1-2%ofallnon-Hodgkinlymphomas.Itoftenpresentsautoimmune phenomenaincludinghemolyticanemia,thrombocytopenia,glomerulonephritiesandcirculatingimmune complexes.Polyarteritisnodosaisanautoimmunediseasecharacterizedbynecrotizingvasculitisofmediumvessels, whichrarelydevelopsinassociationwithhematologicalmalignantdisorders.Hereinwereportthecaseofa40- year-oldmanwhounderwentlymphnodebiopsyinthesuspiciousofsarcoidosis.Onthebasisofhistologicaland immunohistochemicalfindings,thediagnosisofangioimmunoblasticT-celllymphomawasperformed.Thepatient wassuccessfullytreatedwithcytarabine-basedregimenfor6cycles.Threemonthsaftertheinitialdiagnosisof angioimmunoblasticT-celllymphoma,awholebodycomputedtomographyshowedalesioninthelowerpoleof theleftkidney.Renalcellcarcinomawassuspected,thusanephrectomywascarriedout.Thehistologicalfindings werecompatiblewithpolyarteritisnodosa.Tothebestofourknowledge,theassociationbetweenpolyarteritis nodosaandangioimmunoblasticT-celllymphomahasbeendescribedonlyonce.Thisrelationmaybesecondary totheinductionofanautoimmunephenomenonbythelymphomawiththeformationofcirculatingimmune complexes,leadingtovesselswallsinjury.Acarefulevaluationisneededinthemanagementof angioimmunoblasticT-celllymphomapatientswithsignsofrenalfailureinordertoavoiddelayoftreatmentand organdamage. Keywords:Renalinfarction,Polyarteritisnodosa,T-celllymphoma Background incidence in males and females and has an aggressive TheWorldHealthOrganization(WHO)classificationof clinical behavior, often with fever,