Angioimmunoblastic lymphadenopathy after infectious mononucleosis. NLM AIDSLINE Important note: Information in this article was accurate in 1981. The state of the art may have changed since the publication date.

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Angioimmunoblastic lymphadenopathy after infectious mononucleosis.

Br Med J (Clin Res Ed). 1981 May 16;282(6276):1574-5. Unique Identifier : AIDSLINE MED/81209129
Seigneurin JM; Mingat J; Lenoir GM; Couderc P; Micoud M


Abstract: Angioimmunoblastic lymphadenopathy occurred in a 46-year-old man 16 months after an episode of infectious mononucleosis induced by Epstein-Barr (EB) virus. The features of infectious mononucleosis included fever, pharyngitis, lymph gland enlargement, hepatosplenomegaly, hyperbasophilic mononuclear cells, and IgM antibodies to EB virus, although heterophile antibodies were not detected. The illness was severe and prolonged and included an asymptomatic measles virus infection. Over a year later massive enlargement of the lymph nodes led to a biopsy, which showed a diffuse infiltration with lymphoid cells and a proliferation of arborising small vessels typical of angioimmunoblastic lymphadenopathy. In spite of corticosteroids, levamisole, chlorambucil, and radiotherapy, no remission occurred, and serious infections led to death 18 months after the onset. Viral infections with EB virus and measles virus associated with pre-existing or subsequent immunological changes probably resulted in the appearance of angioimmunoblastic lymphadenopathy.
Keywords: Case Report Human Immunoblastic Lymphadenopathy/*ETIOLOGY/IMMUNOLOGY Infectious Mononucleosis/*COMPLICATIONS Male Measles/COMPLICATIONS Middle Age Time Factors JOURNAL ARTICLE

KWDcasereporthumanimmunoblasticlymphadenopathy/KWDetiology/immunologyinfectiousmononucleosis/KWDcomplicationsmalemeasles/complicationsmiddleagetimefactorsjournalarticle
811030
M81A0006


Copyright © 1981 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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