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An elderly man with bilateral lung disease.

N L Müller1, M L Guerry-Force, L Lawson

  • 1Department of Radiology, St. Paul's Hospital, Vancouver, British Columbia.

Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes
|September 1, 1987
PubMed
Summary

A man with sprue developed interstitial lung disease. Biopsy confirmed non-Hodgkin's lymphoma, showing a good response to treatment.

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Area of Science:

  • Pulmonology
  • Oncology
  • Pathology

Background:

  • Sprue is a malabsorptive condition that can have extraintestinal manifestations.
  • Interstitial lung disease (ILD) presents with various symptoms including cough and dyspnea.
  • Lymphoma is a cancer of the lymphatic system.

Observation:

  • A 60-year-old male patient with a history of sprue presented with respiratory symptoms.
  • Radiological findings included diffuse, bilateral interstitial lung disease, Kerley-B lines, and pleural effusions.
  • Open lung biopsy demonstrated diffuse interstitial infiltration by neoplastic lymphocytes.

Findings:

  • The histological findings were consistent with non-Hodgkin's lymphoma.
  • The patient exhibited a positive therapeutic response to the administered treatment.

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Implications:

  • This case highlights a rare presentation of non-Hodgkin's lymphoma involving the lungs in a patient with sprue.
  • Early diagnosis and appropriate therapy are crucial for managing pulmonary lymphoma.
  • Further research may elucidate the specific mechanisms linking sprue and lymphoproliferative disorders affecting the lungs.