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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
PubMed
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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.

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  • 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.