Lymphomatoid granulomatosis differential diagnosis: Difference between revisions
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Lymphmatoid granulomatosis<ref name="pmid23006954">{{cite journal| author=Roschewski M, Wilson WH| title=Lymphomatoid granulomatosis. | journal=Cancer J | year= 2012 | volume= 18 | issue= 5 | pages= 469-74 | pmid=23006954 | doi=10.1097/PPO.0b013e31826c5e19 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23006954 }} </ref> | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Lymphmatoid granulomatosis]]<ref name="pmid23006954">{{cite journal| author=Roschewski M, Wilson WH| title=Lymphomatoid granulomatosis. | journal=Cancer J | year= 2012 | volume= 18 | issue= 5 | pages= 469-74 | pmid=23006954 | doi=10.1097/PPO.0b013e31826c5e19 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23006954 }} </ref> | ||
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| style="background: #F5F5F5; padding: 5px;" |[[Mononucleosis|EBV i]]<nowiki/>nfused [[B cell|B-cells]] on blood scan | | style="background: #F5F5F5; padding: 5px;" |[[Mononucleosis|EBV i]]<nowiki/>nfused [[B cell|B-cells]] on blood scan | ||
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* Dense, large, mass like infiltrate and bilateral nodular disease. | * Dense, large, mass like infiltrate and bilateral [[Nodular lesions|nodular]] disease. | ||
| style="background: #F5F5F5; padding: 5px;" |Poorly defined nodular peribronchovascular infiltrates with air-bronchograms. | | style="background: #F5F5F5; padding: 5px;" |Poorly defined nodular peribronchovascular infiltrates with air-bronchograms. | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
** Nodular and diffuse lymphoid infiltrates | ** Nodular and diffuse [[Lymphocyte|lymphoid]] infiltrates | ||
** Centers of nodules have large vessels | ** Centers of [[Nodule (medicine)|nodules]] have large vessels | ||
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** Predisposing factor immunodeficient states | ** Predisposing factor immunodeficient states | ||
** Patients may have fever of unknown origin, hemoptysis, history of multiple skin or other biopsies without diagnosis | ** Patients may have [[fever of unknown origin]], [[hemoptysis]], history of multiple skin or other [[Biopsy|biopsies]] without diagnosis | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Churg-Strauss syndrome<ref name="Della Rossa2002">{{cite journal|last1=Della Rossa|first1=A.|title=Churg-Strauss syndrome: clinical and serological features of 19 patients from a single Italian centre|journal=Rheumatology|volume=41|issue=11|year=2002|pages=1286–1294|issn=14602172|doi=10.1093/rheumatology/41.11.1286}}</ref> | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Eosinophilic granulomatosis with polyangiitis|Churg-Strauss syndrome]]<ref name="Della Rossa2002">{{cite journal|last1=Della Rossa|first1=A.|title=Churg-Strauss syndrome: clinical and serological features of 19 patients from a single Italian centre|journal=Rheumatology|volume=41|issue=11|year=2002|pages=1286–1294|issn=14602172|doi=10.1093/rheumatology/41.11.1286}}</ref> | ||
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| style="background: #F5F5F5; padding: 5px;" |Wheezing | | style="background: #F5F5F5; padding: 5px;" |[[Wheeze|Wheezing]] | ||
Rales | [[Rales]] | ||
Rhonchi | [[Rhonchi]] | ||
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* Greater than 50% have positive ANCA, often antimyeloperoxidase | * Greater than 50% have positive [[Anti-neutrophil cytoplasmic antibody|ANCA]], often antimyeloperoxidase | ||
* Eosinophilia | * [[Eosinophilia]] | ||
* Elevated ESR | * Elevated [[Erythrocyte sedimentation rate|ESR]] | ||
| style="background: #F5F5F5; padding: 5px;" |Pulmonary infiltrates: | | style="background: #F5F5F5; padding: 5px;" |Pulmonary infiltrates: | ||
Typically, these are transient patchy alveolar infiltrates. | Typically, these are transient patchy alveolar infiltrates. | ||
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* Subpleural airspace consolidation | * Subpleural airspace consolidation | ||
* Enlarged hilar or mediastinal lymph nodes | * Enlarged [[Hilar lymphadenopathy|hilar]] or mediastinal lymph nodes | ||
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* Lung and extrapulmonary sites with eosinophilic infiltrate, | * Lung and extrapulmonary sites with [[eosinophilic]] infiltrate, | ||
* Granulomatous reaction | * [[Granuloma|Granulomatous]] reaction | ||
* May have edema, lymphocytes, sarcoid-like granulomas. | * May have edema, lymphocytes, sarcoid-like granulomas. | ||
| style="background: #F5F5F5; padding: 5px;" | + P-ANCA in cells on lung biposy | | style="background: #F5F5F5; padding: 5px;" | + [[Anti-neutrophil cytoplasmic antibody|P-ANCA]] in cells on lung biposy | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Very rare | * Very rare | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Necrotizing sarcoid granulomatosis<ref name="Quaden2005">{{cite journal|last1=Quaden|first1=C.|title=Necrotising sarcoid granulomatosis: clinical, functional, endoscopical and radiographical evaluations|journal=European Respiratory Journal|volume=26|issue=5|year=2005|pages=778–785|issn=0903-1936|doi=10.1183/09031936.05.00024205}}</ref> | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Sarcoidosis|Necrotizing sarcoid granulomatosis]]<ref name="Quaden2005">{{cite journal|last1=Quaden|first1=C.|title=Necrotising sarcoid granulomatosis: clinical, functional, endoscopical and radiographical evaluations|journal=European Respiratory Journal|volume=26|issue=5|year=2005|pages=778–785|issn=0903-1936|doi=10.1183/09031936.05.00024205}}</ref> | ||
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| style="background: #F5F5F5; padding: 5px;" |Wheezing | | style="background: #F5F5F5; padding: 5px;" |[[Wheeze|Wheezing]] | ||
| style="background: #F5F5F5; padding: 5px;" |Increased levels of ACE in the blood | | style="background: #F5F5F5; padding: 5px;" |Increased levels of [[Angiotensin-converting enzyme|ACE]] in the blood | ||
| style="background: #F5F5F5; padding: 5px;" |Hilar adenopathy | | style="background: #F5F5F5; padding: 5px;" |[[Hilar lymphadenopathy|Hilar]] adenopathy | ||
| style="background: #F5F5F5; padding: 5px;" |bihilar lymphadenopathy and reticulonodular infiltrates | | style="background: #F5F5F5; padding: 5px;" |[[bihilar lymphadenopathy]] and [[reticulonodular]] infiltrates | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Inflammatory and granulomatous reactions | * Inflammatory and [[granulomatous]] reactions | ||
* Resembling lymphoma and atypia | * Resembling [[lymphoma]] and [[atypia]] | ||
* Dense, noncaseating granulomas | * Dense, noncaseating [[Granuloma|granulomas]] | ||
* Also Schaumann bodies | * Also [[Schaumann bodies]] | ||
| style="background: #F5F5F5; padding: 5px;" |High levels of ACE in blood | | style="background: #F5F5F5; padding: 5px;" |High levels of [[Angiotensin-converting enzyme|ACE]] in blood | ||
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* Affects skin, lymph nodes and organs | * Affects skin, lymph nodes and organs | ||
* Diagnosis of exclusion | * Diagnosis of exclusion | ||
* Patients often have anergy to delayed hypersensitivity tests | * Patients often have anergy to delayed [[hypersensitivity]] tests | ||
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!Diseases | !Diseases | ||
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!Additional findings | !Additional findings | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Wegeners granulomatosis<ref name="de GrootGross2016">{{cite journal|last1=de Groot|first1=K|last2=Gross|first2=W L|title=Wegener's granulomatosis: disease course, assessment of activity and extent and treatment|journal=Lupus|volume=7|issue=4|year=2016|pages=285–291|issn=0961-2033|doi=10.1191/096120398678920118}}</ref> | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Wegeners granulomatosis history and symptoms|Wegeners granulomatosis]]<ref name="de GrootGross2016">{{cite journal|last1=de Groot|first1=K|last2=Gross|first2=W L|title=Wegener's granulomatosis: disease course, assessment of activity and extent and treatment|journal=Lupus|volume=7|issue=4|year=2016|pages=285–291|issn=0961-2033|doi=10.1191/096120398678920118}}</ref> | ||
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| style="background: #F5F5F5; padding: 5px;" |Wheezing | | style="background: #F5F5F5; padding: 5px;" |[[Wheeze|Wheezing]] | ||
| style="background: #F5F5F5; padding: 5px;" |C- ANCA | | style="background: #F5F5F5; padding: 5px;" |[[Anti-neutrophil cytoplasmic antibody|C- ANCA]] | ||
Urinalysis: | [[Urinalysis]]: | ||
Hematuria | [[Hematuria]] | ||
Red cell casts | [[Red cell casts]] | ||
Biopsy: Granulomatous inflmmation within the arterial wall ''or'' in the perivascular area | Biopsy: [[Granulomatous]] inflmmation within the arterial wall ''or'' in the perivascular area | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Nodules, | * [[Nodule (medicine)|Nodules]], | ||
* Infiltrates ''or'' | * [[Infiltrates]] ''or'' | ||
* Cavities | * [[Cavity|Cavities]] | ||
| style="background: #F5F5F5; padding: 5px;" |Pulmonary nodules with or without cavitation and airspace consolidation | | style="background: #F5F5F5; padding: 5px;" |Pulmonary [[Nodule (medicine)|nodules]] with or without cavitation and airspace consolidation | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
** Liquefactive or coagulative necrosis in lungs | ** [[Liquefactive necrosis|Liquefactive]] or [[coagulative necrosis]] in lungs | ||
** Destructive leukocytic angiitis of arteries and veins | ** Destructive leukocytic [[angiitis]] of arteries and veins | ||
| style="background: #F5F5F5; padding: 5px;" |Biopsy of the lung | | style="background: #F5F5F5; padding: 5px;" |[[Biopsy]] of the lung | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* p-ANCA: perinuclear staining, directed against myeloperoxidase, is usually negative, | * [[p-ANCA]]: perinuclear staining, directed against [[myeloperoxidase]], is usually negative, | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Hodgkin disease<ref name="TownsendLinch2012">{{cite journal|last1=Townsend|first1=William|last2=Linch|first2=David|title=Hodgkin's lymphoma in adults|journal=The Lancet|volume=380|issue=9844|year=2012|pages=836–847|issn=01406736|doi=10.1016/S0140-6736(12)60035-X}}</ref> | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hodgkin's lymphoma|Hodgkin disease]]<ref name="TownsendLinch2012">{{cite journal|last1=Townsend|first1=William|last2=Linch|first2=David|title=Hodgkin's lymphoma in adults|journal=The Lancet|volume=380|issue=9844|year=2012|pages=836–847|issn=01406736|doi=10.1016/S0140-6736(12)60035-X}}</ref> | ||
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* Contains a small number of the characteristic neoplastic cells ('''Hodgkin and Reed-Sternberg cells''' or '''lymphocyte predominant cells''') within a background rich in inflammatory cells | * Contains a small number of the characteristic [[neoplastic]] cells ('''Hodgkin and [[Reed-Sternberg cell|Reed-Sternberg cells]]''' or '''[[lymphocyte]] predominant cells''') within a background rich in inflammatory cells | ||
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* Parenchymal lung involvement occurs in 1/3 of patients with Hodgkin | * [[Parenchyma|Parenchymal]] lung involvement occurs in 1/3 of patients with Hodgkin | ||
* Almost all have associated hilar or mediastinal adenopathy | * Almost all have associated hilar or mediastinal adenopathy | ||
| style="background: #F5F5F5; padding: 5px;" |Massive mediastinal soft tissue masses consistent with lymphoma | | style="background: #F5F5F5; padding: 5px;" |Massive [[mediastinal]] soft tissue masses consistent with [[lymphoma]] | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Neoplastic cells are Hodgkin and Reed-Sternberg (HRS) cells | * [[Neoplastic]] cells are [[Hodgkin's lymphoma|Hodgkin]] and [[Reed-Sternberg cell|Reed-Sternberg]] (HRS) cells | ||
* Effaced lymph node with variable number of HRS cells | * Effaced [[lymph node]] with variable number of [[Reed-Sternberg cell|HRS]] cells | ||
| style="background: #F5F5F5; padding: 5px;" |Reed Sternberg cells | | style="background: #F5F5F5; padding: 5px;" |[[Reed-Sternberg cell|Reed-sternberg cells]] | ||
| style="background: #F5F5F5; padding: 5px;" |Development of Hodgkin's disease may in some patients be preceded by enhanced activation of Epstein–Barr virus | | style="background: #F5F5F5; padding: 5px;" |Development of [[Hodgkin's lymphoma|Hodgkin's disease]] may in some patients be preceded by enhanced activation of [[Epstein Barr virus|Epstein–Barr virus]] | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Non-hodgkin lymphoma<ref name="ZelenetzAbramson2011">{{cite journal|last1=Zelenetz|first1=Andrew D.|last2=Abramson|first2=Jeremy S.|last3=Advani|first3=Ranjana H.|last4=Andreadis|first4=C. Babis|last5=Bartlett|first5=Nancy|last6=Bellam|first6=Naresh|last7=Byrd|first7=John C.|last8=Czuczman|first8=Myron S.|last9=Fayad|first9=Luis E.|last10=Glenn|first10=Martha J.|last11=Gockerman|first11=Jon P.|last12=Gordon|first12=Leo I.|last13=Harris|first13=Nancy Lee|last14=Hoppe|first14=Richard T.|last15=Horwitz|first15=Steven M.|last16=Kelsey|first16=Christopher R.|last17=Kim|first17=Youn H.|last18=LaCasce|first18=Ann S.|last19=Nademanee|first19=Auayporn|last20=Porcu|first20=Pierluigi|last21=Press|first21=Oliver|last22=Pro|first22=Barbara|last23=Reddy|first23=Nashitha|last24=Sokol|first24=Lubomir|last25=Swinnen|first25=Lode J.|last26=Tsien|first26=Christina|last27=Vose|first27=Julie M.|last28=Wierda|first28=William G.|last29=Yahalom|first29=Joachim|last30=Zafar|first30=Nadeem|title=Non-Hodgkin's Lymphomas|journal=Journal of the National Comprehensive Cancer Network|volume=9|issue=5|year=2011|pages=484–560|issn=1540-1405|doi=10.6004/jnccn.2011.0046}}</ref> | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Non-Hodgkin lymphoma|Non-hodgkin lymphoma]]<ref name="ZelenetzAbramson2011">{{cite journal|last1=Zelenetz|first1=Andrew D.|last2=Abramson|first2=Jeremy S.|last3=Advani|first3=Ranjana H.|last4=Andreadis|first4=C. Babis|last5=Bartlett|first5=Nancy|last6=Bellam|first6=Naresh|last7=Byrd|first7=John C.|last8=Czuczman|first8=Myron S.|last9=Fayad|first9=Luis E.|last10=Glenn|first10=Martha J.|last11=Gockerman|first11=Jon P.|last12=Gordon|first12=Leo I.|last13=Harris|first13=Nancy Lee|last14=Hoppe|first14=Richard T.|last15=Horwitz|first15=Steven M.|last16=Kelsey|first16=Christopher R.|last17=Kim|first17=Youn H.|last18=LaCasce|first18=Ann S.|last19=Nademanee|first19=Auayporn|last20=Porcu|first20=Pierluigi|last21=Press|first21=Oliver|last22=Pro|first22=Barbara|last23=Reddy|first23=Nashitha|last24=Sokol|first24=Lubomir|last25=Swinnen|first25=Lode J.|last26=Tsien|first26=Christina|last27=Vose|first27=Julie M.|last28=Wierda|first28=William G.|last29=Yahalom|first29=Joachim|last30=Zafar|first30=Nadeem|title=Non-Hodgkin's Lymphomas|journal=Journal of the National Comprehensive Cancer Network|volume=9|issue=5|year=2011|pages=484–560|issn=1540-1405|doi=10.6004/jnccn.2011.0046}}</ref> | ||
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| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" |Can be caused by; | | style="background: #F5F5F5; padding: 5px;" |Can be caused by; | ||
EBV | [[Epstein Barr virus|EBV]] | ||
HIV | [[Human Immunodeficiency Virus (HIV)|HIV]] | ||
Hep | [[Hepatitis B|Hep B]]<nowiki/>and[[Hepatitis C|C]] | ||
HTLV | [[Human T-lymphotropic virus|HTLV]] | ||
Lymphomatous appearing B and T cells( condition arises from B and T cells) | Lymphomatous appearing [[B cell|B]] and [[T cell|T cells]]( condition arises from B and T cells) | ||
Abnormal LFT's | Abnormal [[Liver function tests|LFT]]'s | ||
CBC count: Can be normal in early-stage disease; in more advanced stages, can show anemia, thrombocytopenia/leukopenia/pancytopenia, lymphocytosis, thrombocytosis | CBC count: Can be normal in early-stage disease; in more advanced stages, can show [[anemia]], [[thrombocytopenia]]/[[leukopenia]]/[[pancytopenia]], [[lymphocytosis]], [[thrombocytosis]] | ||
| style="background: #F5F5F5; padding: 5px;" |Mediastinal widening | | style="background: #F5F5F5; padding: 5px;" |[[Widened mediastinum|Mediastinal widening]] | ||
| style="background: #F5F5F5; padding: 5px;" |Mediastinum can show enlarged tracheobronchial and subcarinal nodes. small bilateral pleural effusion can be seen | | style="background: #F5F5F5; padding: 5px;" |[[Mediastinum]] can show enlarged [[tracheobronchial]] and subcarinal nodes. small bilateral [[pleural effusion]] can be seen | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Sensitivity and specificity of diagnosis with fine needle aspiration increases with use of flow cytometry | * Sensitivity and specificity of diagnosis with fine [[Needle aspiration biopsy|needle aspiration]] increases with use of flow cytometry | ||
* occasionally associated with monoclonal gammopathy; | * occasionally associated with [[monoclonal gammopathy]]; | ||
| style="background: #F5F5F5; padding: 5px;" |Pop corn cells in NLPHL | | style="background: #F5F5F5; padding: 5px;" |Pop corn cells in [[Nodular lymphocyte predominant Hodgkin lymphoma|NLPHL]] | ||
| style="background: #F5F5F5; padding: 5px;" |Symptoms include enlarged lymph nodes, fever, night sweats, weight loss, and tiredness | | style="background: #F5F5F5; padding: 5px;" |Symptoms include [[enlarged lymph nodes]], [[fever]], [[Sleep hyperhidrosis|night sweats]], [[weight loss]], and [[Fatigue|tiredness]] | ||
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Revision as of 19:09, 6 December 2018
Lymphomatoid granulomatosis Microchapters |
Differentiating Lymphomatoid granulomatosis from other Diseases |
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Diagnosis |
Treatment |
Case Studies |
Lymphomatoid granulomatosis differential diagnosis On the Web |
American Roentgen Ray Society Images of Lymphomatoid granulomatosis differential diagnosis |
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Risk calculators and risk factors for Lymphomatoid granulomatosis differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Lymphamtoid granulomatosis must be differentiated from Bronchocentric granulomatosis and Churg-Strauss, Necrotizing sarcoid granulomatosis, Wegeners granulomatosis, Hodgkins disease, Non-hodgkin lymphoma, and Nasal angiocentric lymphoma
Differentiating Lymphamatoid granulomatosis from other Diseases
As Lymphamatoid granulomatosis manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtypes pulmonary being the most common. The sub types are the following:[1][2][3][4][5][6]
Other Symptoms that are asscociated with the pulmonary symptoms are:[10][11][12]
From the symptoms listed above; Lymphamatoid granulomatosis is usually differtiated from the following diseases Bronchocentric granulomatosis and Churg-Strauss, Necrotizing sarcoid granulomatosis, Wegeners granulomatosis, Hodgkins disease, Non-hodgkin lymphoma, and Nasal angiocentric lymphoma.[15][16][17]
In contrast, CNS lymphamatoid granulomatosis must be differentiated from other diseases that cause:[18][19][20][21]
The differentials are the following CVA, Brain tumors or CNS lymphoma and Parkinsonism.[26]
Finally Cutaneous Lymphamatoid granulomatosis must also be differtiated from other diseases that cause:[21][27][28]
- Erythematous rash[3]
- Macules [29]
- Papules[3][30]
- Plaques [31]
- Subcutaneous nodules[3][32]
- Larger ulcerated nodules[3][33]
The differentials are the following Dermatomyositis, and Psoriasis[34][10]
Differentiating Lymphamatoid Granulomatosis
On the basis of Cough, Dyspnea, and Chest tightness, Lymphamatoid granulomatosis must be differentiated from Bronchocentric granulomatosis and Churg-Strauss, Necrotizing sarcoid granulomatosis, Wegeners granulomatosis, Hodgkins disease, Non-hodgkin lymphoma, and Nasal angiocentric lymphoma.[15][16][17]
Diseases | Clinical manifestations | Para-clinical findings | Gold standard | Additional findings | ||||||
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Symptoms | Physical examination | |||||||||
Lab Findings | Imaging | Histopathology | ||||||||
Cough | Dyspnea | Chest tightness | Auscultation | X-ray | CT scan | |||||
Lymphmatoid granulomatosis[1] | + | + | + | Wheezing | EBV infused B-cells on blood scan |
|
Poorly defined nodular peribronchovascular infiltrates with air-bronchograms. |
| ||
Churg-Strauss syndrome[35] | + | + | + | Wheezing |
|
Pulmonary infiltrates:
Typically, these are transient patchy alveolar infiltrates. |
|
|
+ P-ANCA in cells on lung biposy |
|
Necrotizing sarcoid granulomatosis[36] | + | + | - | Wheezing | Increased levels of ACE in the blood | Hilar adenopathy | bihilar lymphadenopathy and reticulonodular infiltrates |
|
High levels of ACE in blood |
|
Diseases | Cough | Dyspnea | Chest thightness | Auscultation | Lab findings | X-ray | CT scan | Histopathology | Gold standard | Additional findings |
Wegeners granulomatosis[37] | + | + | - | Wheezing | C- ANCA
Biopsy: Granulomatous inflmmation within the arterial wall or in the perivascular area |
Pulmonary nodules with or without cavitation and airspace consolidation |
|
Biopsy of the lung |
| |
Hodgkin disease[38] | - | - | - |
|
|
Massive mediastinal soft tissue masses consistent with lymphoma |
|
Reed-sternberg cells | Development of Hodgkin's disease may in some patients be preceded by enhanced activation of Epstein–Barr virus | |
Non-hodgkin lymphoma[39] | - | - | - | Can be caused by;
Lymphomatous appearing B and T cells( condition arises from B and T cells) Abnormal LFT's CBC count: Can be normal in early-stage disease; in more advanced stages, can show anemia, thrombocytopenia/leukopenia/pancytopenia, lymphocytosis, thrombocytosis |
Mediastinal widening | Mediastinum can show enlarged tracheobronchial and subcarinal nodes. small bilateral pleural effusion can be seen |
|
Pop corn cells in NLPHL | Symptoms include enlarged lymph nodes, fever, night sweats, weight loss, and tiredness |
References
- ↑ 1.0 1.1 Roschewski M, Wilson WH (2012). "Lymphomatoid granulomatosis". Cancer J. 18 (5): 469–74. doi:10.1097/PPO.0b013e31826c5e19. PMID 23006954.
- ↑ Fernandez-Alvarez R, Gonzalez M, Fernandez A, Gonzalez-Rodriguez A, Sancho J, Dominguez F; et al. (2014). "Lymphomatoid granulomatosis of central nervous system and lung driven by epstein barr virus proliferation: successful treatment with rituximab-containing chemotherapy". Mediterr J Hematol Infect Dis. 6 (1): e2014017. doi:10.4084/MJHID.2014.017. PMC 3965717. PMID 24678394.
- ↑ 3.0 3.1 3.2 3.3 3.4 {{cite journal| author=Shaigany S, Weitz NA, Husain S, Geskin L, Grossman ME| title=A case of lymphomatoid granulomatosis presenting with cutaneous lesions. | journal=JAAD Case Rep | year= 2015 | volume= 1 | issue= 4 | pages= 234-7 | pmid=27051739 | doi=10.1016/j.jdcr.2015.05.008 | pmc=4808726 | url=
- Pulmonary
- CNS
- Cutaneous
- ↑ Miloslavsky EM, Stone JH, Unizony SH (2015). "Challenging mimickers of primary systemic vasculitis". Rheum Dis Clin North Am. 41 (1): 141–60, ix. doi:10.1016/j.rdc.2014.09.011. PMID 25399945.
- ↑ Tagliavini E, Rossi G, Valli R, Zanelli M, Cadioli A, Mengoli MC; et al. (2013). "Lymphomatoid granulomatosis: a practical review for pathologists dealing with this rare pulmonary lymphoproliferative process". Pathologica. 105 (4): 111–6. PMID 24466760.
- ↑ Fauci AS, Haynes BF, Costa J, Katz P, Wolff SM (1982). "Lymphomatoid Granulomatosis. Prospective clinical and therapeutic experience over 10 years". N Engl J Med. 306 (2): 68–74. doi:10.1056/NEJM198201143060203. PMID 7053488.
- ↑ Xu B, Liu H, Wang B, Zhang H, Wu H, Jin R; et al. (2015). "Fever, Dry Cough and Exertional Dyspnea: Pulmonary Lymphomatoid Granulomatosis Masquerading as Pneumonia, Granulomatosis with Polyangiitis and Infectious Mononucleosis". Intern Med. 54 (23): 3045–9. doi:10.2169/internalmedicine.54.4822. PMID 26631890.
- ↑ Ameli F, Ghafourian F, Masir N (2014). "Systematic Epstein-Barr virus-positive T-cell lymphoproliferative disease presenting as a persistent fever and cough: a case report". J Med Case Rep. 8: 288. doi:10.1186/1752-1947-8-288. PMC 4150421. PMID 25163591.
- ↑ Olusina D, Ezemba N, Nzegwu MA (2011). "Pulmonary Lymphomatoid Granulomatosis: Report of A Case and Review of Literature". Niger Med J. 52 (1): 60–63. PMC 3180752. PMID 21968985.
- ↑ 10.0 10.1 10.2 10.3 O'Brien S, Schmidt P (2016). "Lymphomatoid Granulomatosis with Paraneoplastic Polymyositis: A Rare Malignancy with Rare Complication". Case Rep Rheumatol. 2016: 8242597. doi:10.1155/2016/8242597. PMC 4757691. PMID 26966605.
- ↑ Alinari L, Pant S, McNamara K, Kalmar JR, Marsh W, Allen CM; et al. (2012). "Lymphomatoid granulomatosis presenting with gingival involvement in an immune competent elderly male". Head Neck Pathol. 6 (4): 496–501. doi:10.1007/s12105-012-0378-z. PMC 3500898. PMID 22711054.
- ↑ Alexandra G, Claudia G (2018). "Lymphomatoid granulomatosis mimicking cancer and sarcoidosis". Ann Hematol. doi:10.1007/s00277-018-3505-4. PMID 30288554.
- ↑ Olmes DG, Agaimy A, Kloska S, Linker RA (2014). "Fatal lymphomatoid granulomatosis with primary CNS-involvement in an immunocompetent 80-year-old woman". BMJ Case Rep. 2014. doi:10.1136/bcr-2014-206825. PMC 4275695. PMID 25535225.
- ↑ Costiniuk, Cecilia T.; Karamchandani, Jason; Bessissow, Ali; Routy, Jean-Pierre; Szabo, Jason; Frenette, Charles (2018). "Angiocentric lymph proliferative disorder (lymphomatoid granulomatosis) in a person with newly-diagnosed HIV infection: a case report". BMC Infectious Diseases. 18 (1). doi:10.1186/s12879-018-3128-3. ISSN 1471-2334.
- ↑ 15.0 15.1 Bohle M, Rasche K, Müller KM, Schultze-Werninghaus G, Fisseler-Eckhoff A (1999). "[Lymphomatoid granulomatosis: differential diagnosis and therapy]". Med Klin (Munich). 94 (9): 513–9. PMID 10544614.
- ↑ 16.0 16.1 Schmoldt A, Benthe HF, Haberland G (1975). "Digitoxin metabolism by rat liver microsomes". Biochem Pharmacol. 24 (17): 1639–41. PMC 5922622. PMID doi.org/10.1053/stcs.2002.34450 Check
|pmid=
value (help). - ↑ 17.0 17.1 Schmoldt A, Benthe HF, Haberland G (1975). "Digitoxin metabolism by rat liver microsomes". Biochem Pharmacol. 24 (17): 1639–41. PMC 5922622. PMID https://doi.org/10.1007/s00247-014-3233-4 Check
|pmid=
value (help). - ↑ Kim JY, Jung KC, Park SH, Choe JY, Kim JE (2018). "Primary lymphomatoid granulomatosis in the central nervous system: A report of three cases". Neuropathology. doi:10.1111/neup.12467. PMID 29635846.
- ↑ Kano Y, Kodaira M, Ushiki A, Kosaka M, Yamada M, Shingu K; et al. (2017). "The Complete Remission of Acquired Immunodeficiency Syndrome-associated Isolated Central Nervous System Lymphomatoid Granulomatosis: A Case Report and Review of the Literature". Intern Med. 56 (18): 2497–2501. doi:10.2169/internalmedicine.8776-16. PMC 5643181. PMID 28824078.
- ↑ Quinones E, Potes LI, Silva N, Lobato-Polo J (2016). "Lymphomatoid granulomatosis of the brain: A case report". Surg Neurol Int. 7 (Suppl 23): S612–6. doi:10.4103/2152-7806.189732. PMC 5025951. PMID 27656321.
- ↑ 21.0 21.1 Halvani A, Owlia MB, Sami R (2010). "Lymphomatoid granulomatosis with splenomegaly and pancytopenia". Zhongguo Fei Ai Za Zhi. 13 (1): 84–6. doi:10.3779/j.issn.1009-3419.2010.01.17. PMC 6000673. PMID 20672711.
- ↑ Castrale C, El Haggan W, Chapon F, Reman O, Lobbedez T, Ryckelynck JP; et al. (2011). "Lymphomatoid granulomatosis treated successfully with rituximab in a renal transplant patient". J Transplant. 2011: 865957. doi:10.1155/2011/865957. PMC 3087939. PMID 21559262.
- ↑ Liu, Hongli; Chen, Jing; Yu, Dandan; Hu, Jianli (2014). "Lymphomatoid granulomatosis involving the central nervous system: A case report and review of the literature". Oncology Letters. 7 (6): 1843–1846. doi:10.3892/ol.2014.2002. ISSN 1792-1074.
- ↑ Patsalides, Athos D.; Atac, Gokce; Hedge, Upendra; Janik, John; Grant, Nicole; Jaffe, Elaine S.; Dwyer, Andrew; Patronas, Nicholas J.; Wilson, Wyndham H. (2005). "Lymphomatoid Granulomatosis: Abnormalities of the Brain at MR Imaging". Radiology. 237 (1): 265–273. doi:10.1148/radiol.2371041087. ISSN 0033-8419.
- ↑ Cargini, Pasqualino; Civica, Maria; Sollima, Laura; Di Cola, Emanuela; Pontecorvi, Emanuele; Cutilli, Tommaso (2014). "Oral lymphomatoid granulomatosis, the first sign of a 'rare disease': a case report". Journal of Medical Case Reports. 8 (1). doi:10.1186/1752-1947-8-152. ISSN 1752-1947.
- ↑ Sohn EH, Song CJ, Lee HJ, Kim S, Kim JM, Lee AY (2007). "Central nervous system lymphomatoid granulomatosis presenting with parkinsonism". J Clin Neurol. 3 (2): 108–11. doi:10.3988/jcn.2007.3.2.108. PMC 2686859. PMID 19513302.
- ↑ Rysgaard CD, Stone MS (2015). "Lymphomatoid granulomatosis presenting with cutaneous involvement: a case report and review of the literature". J Cutan Pathol. 42 (3): 188–93. doi:10.1111/cup.12402. PMID 25355540.
- ↑ Gangar P, Venkatarajan S (2015). "Granulomatous Lymphoproliferative Disorders: Granulomatous Slack Skin and Lymphomatoid Granulomatosis". Dermatol Clin. 33 (3): 489–96. doi:10.1016/j.det.2015.03.013. PMID 26143428.
- ↑ Carlson, Keith C. (1991). "Cutaneous Signs of Lymphomatoid Granulomatosis". Archives of Dermatology. 127 (11): 1693. doi:10.1001/archderm.1991.01680100093011. ISSN 0003-987X.
- ↑ Minars, Norman (1975). "Lymphomatoid Granulomatosis of the Skin". Archives of Dermatology. 111 (4): 493. doi:10.1001/archderm.1975.01630160083009. ISSN 0003-987X.
- ↑ Rysgaard, Carolyn D.; Stone, Mary Seabury (2015). "Lymphomatoid granulomatosis presenting with cutaneous involvement: a case report and review of the literature". Journal of Cutaneous Pathology. 42 (3): 188–193. doi:10.1111/cup.12402. ISSN 0303-6987.
- ↑ Prieto Herman Reinehr, Clarissa; Corrêa Martins, Carla; Trein Cunha, Vivian; Elen Lira, Franci; Sprinz, Eduardo; Cartell, André; Bakos, Renato Marchiori (2017). "Cutaneous human immunodeficiency virus (HIV)-associated lymphomatoid granulomatosis: complete regression following antiretroviral therapy". International Journal of Dermatology. 56 (5): e100–e102. doi:10.1111/ijd.13551. ISSN 0011-9059.
- ↑ Lee, Lynette Y.; Namuduri, Rama; Chan, Michelle M. F.; Quek, Jeffrey K. S.; Koh, Mark J.-A. (2018). "Epstein-Barr virus positive diffuse large B-cell lymphoma presenting with vaginal sloughing and ulcerated skin nodule". Journal of Cutaneous Pathology. 45 (2): 162–166. doi:10.1111/cup.13074. ISSN 0303-6987.
- ↑ Berti, Alvise; Felicetti, Mara; Peccatori, Susanna; Bortolotti, Roberto; Guella, Anna; Vivaldi, Paolo; Morelli, Luca; Barabareschi, Mattia; Paolazzi, Giuseppe (2018). "EBV-induced lymphoproliferative disorders in rheumatic patients: A systematic review of the literature". Joint Bone Spine. 85 (1): 35–40. doi:10.1016/j.jbspin.2017.01.006. ISSN 1297-319X.
- ↑ Della Rossa, A. (2002). "Churg-Strauss syndrome: clinical and serological features of 19 patients from a single Italian centre". Rheumatology. 41 (11): 1286–1294. doi:10.1093/rheumatology/41.11.1286. ISSN 1460-2172.
- ↑ Quaden, C. (2005). "Necrotising sarcoid granulomatosis: clinical, functional, endoscopical and radiographical evaluations". European Respiratory Journal. 26 (5): 778–785. doi:10.1183/09031936.05.00024205. ISSN 0903-1936.
- ↑ de Groot, K; Gross, W L (2016). "Wegener's granulomatosis: disease course, assessment of activity and extent and treatment". Lupus. 7 (4): 285–291. doi:10.1191/096120398678920118. ISSN 0961-2033.
- ↑ Townsend, William; Linch, David (2012). "Hodgkin's lymphoma in adults". The Lancet. 380 (9844): 836–847. doi:10.1016/S0140-6736(12)60035-X. ISSN 0140-6736.
- ↑ Zelenetz, Andrew D.; Abramson, Jeremy S.; Advani, Ranjana H.; Andreadis, C. Babis; Bartlett, Nancy; Bellam, Naresh; Byrd, John C.; Czuczman, Myron S.; Fayad, Luis E.; Glenn, Martha J.; Gockerman, Jon P.; Gordon, Leo I.; Harris, Nancy Lee; Hoppe, Richard T.; Horwitz, Steven M.; Kelsey, Christopher R.; Kim, Youn H.; LaCasce, Ann S.; Nademanee, Auayporn; Porcu, Pierluigi; Press, Oliver; Pro, Barbara; Reddy, Nashitha; Sokol, Lubomir; Swinnen, Lode J.; Tsien, Christina; Vose, Julie M.; Wierda, William G.; Yahalom, Joachim; Zafar, Nadeem (2011). "Non-Hodgkin's Lymphomas". Journal of the National Comprehensive Cancer Network. 9 (5): 484–560. doi:10.6004/jnccn.2011.0046. ISSN 1540-1405.