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[Uveitis and cerebral lymphoma].

A Destée, P Benoit, M Roels

    Revue Neurologique
    |January 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

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    This case study highlights a rare association between primary non-Hodgkin brain lymphoma (PNHBL) and uveitis. Early detection of uveitis preceding neurological signs may offer a better prognosis for PNHBL patients.

    Area of Science:

    • Neuro-oncology
    • Ophthalmology
    • Immunology

    Background:

    • Primary non-Hodgkin brain lymphoma (PNHBL) is a rare malignancy.
    • Uveitis can be an ocular manifestation of systemic diseases, including lymphomas.
    • The association between PNHBL and uveitis is infrequently reported.

    Observation:

    • A 57-year-old man presented with unexplained posterior uveitis unresponsive to standard treatments.
    • Ocular symptoms preceded the diagnosis of a parieto-occipital PNHBL by nine months.
    • Immunological studies revealed T-lymphocyte deficiency, B-lymphocyte excess, and monoclonal gammopathy (IgM lambda).

    Findings:

    • The patient's monoclonal gammopathy resolved post-neurosurgery.
    • Tumor cells were identified as B-lymphoid type with lambda light chain.

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  • Despite initial treatment, contralateral uveitis developed, and the patient died 22 months after symptom onset.

    • Implications:

    • The timing of uveitis presentation relative to neurological signs may impact PNHBL prognosis.
    • Uveitis preceding neurological signs suggests a potentially better prognosis, possibly influenced by prompt irradiation.
    • Monoclonal gammopathy is an unusual immunological finding in this PNHBL-uveitis association.