A 69-year-old man with fever,pulmonary nodules,joint pain and superficial lymphadenopathy was admitted to our *** patient had a history of ten year *** smoked a pack of cigarettes daily for forty years and quitted for...
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A 69-year-old man with fever,pulmonary nodules,joint pain and superficial lymphadenopathy was admitted to our *** patient had a history of ten year *** smoked a pack of cigarettes daily for forty years and quitted for fifteen *** history of coronary heart disease,diabetes,cancer or other diseases was *** CT showed a nodule in the left lung lower *** lung biopsy revealed a large number of atypical B cell proliferation and infiltration which involved the vessel *** atypical B-cell phenotype and genotype was EBERs (+),CD20 (+),CD30 (+),CD15 (-).The patient was diagnosed as pulmonary lymphomatoid granulomatosis (LYG),an angiodestructive and angioinvasive lymphoproliferative disorder which is an Epstein-Barr virus associated B cell disorder with reactive T *** patient received six courses of *** this rare case,misdiagnosis of LYG often occurred due to the complex clinical presentation and non-specific *** or open lung biopsy is the main choice in the diagnosis of LYG.
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