A CASE OF WHIPPLES-DISEASE PRESENTING AS SUPRACLAVICULAR LYMPHADENOPATHY

被引：9

作者：

ERENO, C ^{[1
]}

LOPEZ, JI ^{[1
]}

ELIZALDE, JM ^{[1
]}

IBANEZ, T ^{[1
]}

FDEZLARRINOA, A ^{[1
]}

TOLEDO, JD ^{[1
]}

机构：

[1] UNIV BASQUE COUNTRY, HOSP BASURTO, FAC MED, DEPT PATHOL, BILBAO, SPAIN

来源：

APMIS | 1993年 / 101卷 / 11期

关键词：

WHIPPLES DISEASE; ACTINOMYCETE; TROPHERYMA-WHIPPELII; SUPRACLAVICULAR LYMPHADENOPATHY; DIFFERENTIAL DIAGNOSIS;

D O I：

10.1111/j.1699-0463.1993.tb00193.x

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

A case of Whipple's disease occurring in a 63-year-old woman is reported. Cervical lymphadenopathy and vague constitutional symptoms were soon followed by diarrhea and weight loss. Supraclavicular lymph node exeresis suggested the initial diagnosis, which was confirmed by intestinal biopsy. The concurrence of cystic spaces, PAS-positive foamy histiocytes and epithelioid granulomas is considered by the authors to provide a useful histological clue in the diagnosis of lymph node involvement in Whipple's disease. Pathologists must be aware of such an un-conventional presentation of this rare entity and therefore include it within the differential diagnosis of cervical and/or axillary lymphadenopathies.

引用

页码：865 / 868

页数：4

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