Lymphomatoid granulomatosis differential diagnosis: Difference between revisions

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__NOTOC__
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{{Lymphomatoid granulomatosis}}
[[Image:Home_logo1.png|right|250px|link=http://www.wikidoc.org/index.php/Lymphomatoid_granulomatosis]]
{{CMG}}; {{AE}}  
{{CMG}}; {{AE}} {{kakbar}}


==Overview==
==Overview==
Lymphamtoid granulomatosis must be differentiated from [[Bronchocentric granulomatosis]] and [[Eosinophilic granulomatosis with polyangiitis|Churg-Strauss]], [[Sarcoidosis|Necrotizing sarcoid granulomatosis]], [[Wegeners granulomatosis differential diagnosis|Wegeners granulomatosis]], [[Hodgkin's lymphoma|Hodgkins disease]], [[Non-Hodgkin lymphoma|Non-hodgkin lymphoma]], and [[Nasal lymphoma|Nasal angiocentric lymphoma]]
Lymphamtoid granulomatosis must be differentiated from [[bronchocentric granulomatosis]] and [[Eosinophilic granulomatosis with polyangiitis|Churg-Strauss]], [[Sarcoidosis|necrotizing sarcoid granulomatosis]], [[Wegeners granulomatosis differential diagnosis|Wegeners granulomatosis]], [[Hodgkin's lymphoma|Hodgkins disease]], [[Non-Hodgkin lymphoma|non-Hodgkin lymphoma]], and [[Nasal lymphoma|Nasal angiocentric lymphoma]]


==Differentiating Lymphamatoid granulomatosis from other Diseases==
==Differentiating Lymphamatoid granulomatosis from other Diseases==
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*[[Fatigue]]<ref name="CostiniukKaramchandani2018">{{cite journal|last1=Costiniuk|first1=Cecilia T.|last2=Karamchandani|first2=Jason|last3=Bessissow|first3=Ali|last4=Routy|first4=Jean-Pierre|last5=Szabo|first5=Jason|last6=Frenette|first6=Charles|title=Angiocentric lymph proliferative disorder (lymphomatoid granulomatosis) in a person with newly-diagnosed HIV infection: a case report|journal=BMC Infectious Diseases|volume=18|issue=1|year=2018|issn=1471-2334|doi=10.1186/s12879-018-3128-3}}</ref>
*[[Fatigue]]<ref name="CostiniukKaramchandani2018">{{cite journal|last1=Costiniuk|first1=Cecilia T.|last2=Karamchandani|first2=Jason|last3=Bessissow|first3=Ali|last4=Routy|first4=Jean-Pierre|last5=Szabo|first5=Jason|last6=Frenette|first6=Charles|title=Angiocentric lymph proliferative disorder (lymphomatoid granulomatosis) in a person with newly-diagnosed HIV infection: a case report|journal=BMC Infectious Diseases|volume=18|issue=1|year=2018|issn=1471-2334|doi=10.1186/s12879-018-3128-3}}</ref>


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.<ref name="pmid10544614">{{cite journal| author=Bohle M, Rasche K, Müller KM, Schultze-Werninghaus G, Fisseler-Eckhoff A| title=[Lymphomatoid granulomatosis: differential diagnosis and therapy]. | journal=Med Klin (Munich) | year= 1999 | volume= 94 | issue= 9 | pages= 513-9 | pmid=10544614 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10544614  }} </ref><ref name="pmiddoi.org/10.1053/stcs.2002.34450">{{cite journal| author=Schmoldt A, Benthe HF, Haberland G| title=Digitoxin metabolism by rat liver microsomes. | journal=Biochem Pharmacol | year= 1975 | volume= 24 | issue= 17 | pages= 1639-41 | pmid=doi.org/10.1053/stcs.2002.34450 | doi= | pmc=5922622 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10  }} </ref><ref name="pmidhttps://doi.org/10.1007/s00247-014-3233-4">{{cite journal| author=Schmoldt A, Benthe HF, Haberland G| title=Digitoxin metabolism by rat liver microsomes. | journal=Biochem Pharmacol | year= 1975 | volume= 24 | issue= 17 | pages= 1639-41 | pmid=https://doi.org/10.1007/s00247-014-3233-4 | doi= | pmc=5922622 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10  }} </ref>
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.<ref name="pmid10544614">{{cite journal| author=Bohle M, Rasche K, Müller KM, Schultze-Werninghaus G, Fisseler-Eckhoff A| title=[Lymphomatoid granulomatosis: differential diagnosis and therapy]. | journal=Med Klin (Munich) | year= 1999 | volume= 94 | issue= 9 | pages= 513-9 | pmid=10544614 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10544614  }} </ref><ref name="pmiddoi.org/10.1053/stcs.2002.34450">{{cite journal| author=Schmoldt A, Benthe HF, Haberland G| title=Digitoxin metabolism by rat liver microsomes. | journal=Biochem Pharmacol | year= 1975 | volume= 24 | issue= 17 | pages= 1639-41 | pmid=doi.org/10.1053/stcs.2002.34450 | doi= | pmc=5922622 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10  }} </ref><ref name="pmidhttps://doi.org/10.1007/s00247-014-3233-4">{{cite journal| author=Schmoldt A, Benthe HF, Haberland G| title=Digitoxin metabolism by rat liver microsomes. | journal=Biochem Pharmacol | year= 1975 | volume= 24 | issue= 17 | pages= 1639-41 | pmid=https://doi.org/10.1007/s00247-014-3233-4 | doi= | pmc=5922622 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10  }} </ref>


In contrast, CNS lymphamatoid granulomatosis must be differentiated from other diseases that cause:<ref name="pmid29635846">{{cite journal| author=Kim JY, Jung KC, Park SH, Choe JY, Kim JE| title=Primary lymphomatoid granulomatosis in the central nervous system: A report of three cases. | journal=Neuropathology | year= 2018 | volume=  | issue=  | pages=  | pmid=29635846 | doi=10.1111/neup.12467 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29635846  }} </ref><ref name="pmid28824078">{{cite journal| author=Kano Y, Kodaira M, Ushiki A, Kosaka M, Yamada M, Shingu K et al.| title=The Complete Remission of Acquired Immunodeficiency Syndrome-associated Isolated Central Nervous System Lymphomatoid Granulomatosis: A Case Report and Review of the Literature. | journal=Intern Med | year= 2017 | volume= 56 | issue= 18 | pages= 2497-2501 | pmid=28824078 | doi=10.2169/internalmedicine.8776-16 | pmc=5643181 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28824078  }} </ref><ref name="pmid27656321">{{cite journal| author=Quinones E, Potes LI, Silva N, Lobato-Polo J| title=Lymphomatoid granulomatosis of the brain: A case report. | journal=Surg Neurol Int | year= 2016 | volume= 7 | issue= Suppl 23 | pages= S612-6 | pmid=27656321 | doi=10.4103/2152-7806.189732 | pmc=5025951 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27656321  }} </ref><ref name="pmid20672711">{{cite journal| author=Halvani A, Owlia MB, Sami R| title=Lymphomatoid granulomatosis with splenomegaly and pancytopenia. | journal=Zhongguo Fei Ai Za Zhi | year= 2010 | volume= 13 | issue= 1 | pages= 84-6 | pmid=20672711 | doi=10.3779/j.issn.1009-3419.2010.01.17 | pmc=6000673 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20672711  }} </ref>  
In contrast, CNS lymphamatoid granulomatosis must be differentiated from other diseases that cause:<ref name="pmid29635846">{{cite journal| author=Kim JY, Jung KC, Park SH, Choe JY, Kim JE| title=Primary lymphomatoid granulomatosis in the central nervous system: A report of three cases. | journal=Neuropathology | year= 2018 | volume=  | issue=  | pages=  | pmid=29635846 | doi=10.1111/neup.12467 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29635846  }} </ref><ref name="pmid28824078">{{cite journal| author=Kano Y, Kodaira M, Ushiki A, Kosaka M, Yamada M, Shingu K et al.| title=The Complete Remission of Acquired Immunodeficiency Syndrome-associated Isolated Central Nervous System Lymphomatoid Granulomatosis: A Case Report and Review of the Literature. | journal=Intern Med | year= 2017 | volume= 56 | issue= 18 | pages= 2497-2501 | pmid=28824078 | doi=10.2169/internalmedicine.8776-16 | pmc=5643181 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28824078  }} </ref><ref name="pmid27656321">{{cite journal| author=Quinones E, Potes LI, Silva N, Lobato-Polo J| title=Lymphomatoid granulomatosis of the brain: A case report. | journal=Surg Neurol Int | year= 2016 | volume= 7 | issue= Suppl 23 | pages= S612-6 | pmid=27656321 | doi=10.4103/2152-7806.189732 | pmc=5025951 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27656321  }} </ref><ref name="pmid20672711">{{cite journal| author=Halvani A, Owlia MB, Sami R| title=Lymphomatoid granulomatosis with splenomegaly and pancytopenia. | journal=Zhongguo Fei Ai Za Zhi | year= 2010 | volume= 13 | issue= 1 | pages= 84-6 | pmid=20672711 | doi=10.3779/j.issn.1009-3419.2010.01.17 | pmc=6000673 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20672711  }} </ref>  
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* Poorly defined nodular peribronchovascular infiltrates with air-bronchograms.
* Poorly defined nodular peribronchovascular infiltrates with air-bronchograms.
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
** Nodular and diffuse [[Lymphocyte|lymphoid]] infiltrates  
* Nodular and diffuse [[Lymphocyte|lymphoid]] infiltrates  
** Centers of [[Nodule (medicine)|nodules]] have large vessels  
* Centers of [[Nodule (medicine)|nodules]] have large vessels  
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
** Predisposing factor immunodeficient states
* Predisposing factor immunodeficient states
** Patients may have [[fever of unknown origin]], [[hemoptysis]], history of multiple skin or other [[Biopsy|biopsies]] without diagnosis
* Patients may have [[fever of unknown origin]], [[hemoptysis]], history of multiple skin or other [[Biopsy|biopsies]] without diagnosis
|-
|-
| 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>
| 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;" |
| style="background: #F5F5F5; padding: 5px;" |
* Pulmonary [[Nodule (medicine)|nodules]] with or without cavitation  
* Pulmonary [[Nodule (medicine)|nodules]] with or without cavitation  
* airspace consolidation
* Airspace consolidation
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
** [[Liquefactive necrosis|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;" |
| style="background: #F5F5F5; padding: 5px;" |
* [[Biopsy]] of the lung
* [[Biopsy]] of the lung
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* CBC count: Can be normal in early-stage disease; in more advanced stages, can show:
* CBC count: Can be normal in early-stage disease; in more advanced stages, can show:
** [[anemia]],
** [[anemia]]  
**[[thrombocytopenia]]
**[[thrombocytopenia]]
**[[leukopenia]]
**[[leukopenia]]
** [[pancytopenia]],
** [[pancytopenia]]  
** [[lymphocytosis]],
** [[lymphocytosis]]  
**[[thrombocytosis]]
**[[thrombocytosis]]
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
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| style="background: #F5F5F5; padding: 5px;" |
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* Sensitivity and specificity of diagnosis with fine [[Needle aspiration biopsy|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;" |
| style="background: #F5F5F5; padding: 5px;" |
* Pop corn cells in [[Nodular lymphocyte predominant Hodgkin lymphoma|NLPHL]]
* Pop corn cells in [[Nodular lymphocyte predominant Hodgkin lymphoma|NLPHL]]
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* [[enlarged lymph nodes]]
* [[enlarged lymph nodes]]
* [[fever]]  
* [[fever]]  
* [[Sleep hyperhidrosis|night sweats]],  
* [[Sleep hyperhidrosis|Night sweats]],  
* [[weight loss]]
* [[weight loss]]
* [[Fatigue|tiredness]]
* [[Fatigue|Tiredness]]
|}
|}



Latest revision as of 20:49, 28 February 2019

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kamal Akbar, M.D.[2]

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]

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
Symptoms Physical examination
Lab Findings Imaging Histopathology
Cough Dyspnea Chest tightness Auscultation X-ray CT scan
Lymphmatoid granulomatosis[1] + + +
  • Dense, large, mass like infiltrate and bilateral nodular disease.
  • Poorly defined nodular peribronchovascular infiltrates with air-bronchograms.
  • Nodular and diffuse lymphoid infiltrates
  • Centers of nodules have large vessels
Churg-Strauss syndrome[35] + + +
  • Pulmonary infiltrates:Typically, these are transient patchy alveolar infiltrates.
  • Subpleural airspace consolidation
  • Enlarged hilar or mediastinal lymph nodes
  • Lung and extrapulmonary sites with eosinophilic infiltrate,
  • Granulomatous reaction
  • May have edema, lymphocytes, sarcoid-like granulomas.
  • + P-ANCA in cells on lung biposy
  • Very rare
Necrotizing sarcoid granulomatosis[36] + + -
  • Increased levels of ACE in the blood
High levels of ACE in blood
  • Affects skin, lymph nodes and organs
  • Diagnosis of exclusion
  • Patients often have anergy to delayed hypersensitivity tests
Diseases Cough Dyspnea Chest thightness Auscultation Lab findings X-ray CT scan Histopathology Gold standard Additional findings
Wegeners granulomatosis[37] + + -
  • Pulmonary nodules with or without cavitation
  • Airspace consolidation
Hodgkin disease[38] - - -
  • Parenchymal lung involvement occurs in 1/3 of patients with Hodgkin
  • Almost all have associated hilar or mediastinal adenopathy
Non-hodgkin lymphoma[39] - - -
  • Lymphomatous appearing B and T cells( condition arises from B and T cells)

References

  1. 1.0 1.1 Roschewski M, Wilson WH (2012). "Lymphomatoid granulomatosis". Cancer J. 18 (5): 469–74. doi:10.1097/PPO.0b013e31826c5e19. PMID 23006954.
  2. 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. 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
    Pulmonary Lymphamatoid granulomatosis must be differentiated from other diseases that cause:<ref name="pmid26078192">Santalla-Martínez M, García-Quiroga H, Navarro-Menéndez I (2015). "Pulmonary lymphomatoid granulomatosis. A rare entity in the differential diagnosis of pulmonary nodules". Arch Bronconeumol. 51 (11): 606–7. doi:10.1016/j.arbres.2015.05.003. PMID 26078192.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. 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.
  9. 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. 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.
  11. 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.
  12. Alexandra G, Claudia G (2018). "Lymphomatoid granulomatosis mimicking cancer and sarcoidosis". Ann Hematol. doi:10.1007/s00277-018-3505-4. PMID 30288554.
  13. 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.
  14. 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. 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. 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. 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).
  18. 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.
  19. 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.
  20. 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. 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.
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