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[Inflammatory pseudotumor of lymph node]
G Coutant1, S Lecoules, J Desramé
1Clinique médicale, HIA du Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris cedex 05, France. gilles.coutant@wanadoo.fr
La Revue De Medecine Interne
|March 22, 2005
Summary
Inflammatory pseudotumor of lymph node is a rare cause of prolonged fever and adenopathy. This condition, distinct from other inflammatory pseudotumors, often resolves spontaneously or with anti-inflammatory treatment.
Area of Science:
- Medical Science
- Pathology
- Oncology
Background:
- Inflammatory pseudotumor of lymph node (IPLN) is a rare condition contributing to fever of unknown origin.
- Its nosological definition remains unclear, differentiating it from pseudotumors in other organs.
Observation:
- A 40-year-old woman presented with intermittent fever and sub-diaphragmatic adenopathy.
- The adenopathy was diagnosed as inflammatory pseudotumor of the lymph node.
Findings:
- Diagnosis of IPLN is challenging, often requiring anatomopathology that can mimic lymphoma.
- The condition is characterized by isolated adenopathy or prolonged fever.
Implications:
- IPLN has a favorable prognosis, with potential for spontaneous remission.
- Treatment options include non-steroid anti-inflammatory drugs or steroid therapy.
- Recognition of IPLN is crucial for appropriate diagnosis and management, distinguishing it from neoplastic conditions.