Castleman病の全身性症候を伴う一症例報告
Ahlam Hmimsa1, Nabil Touihem1, Hicham Attifi1
1Service d'Oto-Rhino-Laryngologie et de Chirurgie Cervico-Faciale, Hôpital Militaire Moulay Ismail, Meknès, Maroc.
The Pan African medical journal
|January 12, 2026
まとめ
Castleman病はまれなリンパ増殖性疾患である。この症例は、原因不明の多腺性腫と全身性症候を呈する患者における多中心性Castleman病の診断を強調するものである。
科学分野:
- 血液学
- 腫瘍学
- 免疫学
背景:
- Castleman病はまれなリンパ増殖性疾患である。
- リンパ節症および全身性症候を呈し、単中心性および多中心性の2つの形態がある。
- 多中心性Castleman病は、びまん性のリンパ節関与と過剰なインターロイキン-6(IL-6)産生を特徴とする。
研究 の 目的:
- 多中心性Castleman病の症例を報告する。
- 原因不明の多腺性腫および全身性症候を呈する患者において、Castleman病を考慮することの重要性を強調する。
主な方法:
- 多腺性腫およびレイノー現象を呈した65歳患者の症例報告。
- 診断ワークアップには、画像検査(リンパ節症、肝脾腫)、頸部郭清術、組織病理学的検査、免疫組織化学的分析が含まれた。
主要な成果:
- 組織病理学的および免疫組織化学的検査により、多中心性Castleman病と確定診断された。
- 患者は多腺性腫、レイノー現象、肝脾腫を呈した。
結論:
- 原因不明の多腺性腫の鑑別診断においては、Castleman病を考慮すべきである。
- 非定型的な全身性症候は、Castleman病の徹底的な調査を保証するものである。
関連する概念動画
Chronic Kidney Disease II: Clinical Manifestations
540
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
540
Coronary Artery Disease III: Clinical Manifestations
314
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
314
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
470
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
470
Methods of Documentation VI: Case Management Model
847
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
847
Endocarditis II: Clinical Features of Infective Endocarditis
399
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
399
Cardiomyopathy III: Hypertrophic Cardiomyopathy
387
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
387
