Acute Acquired Demyelinating Polyneuropathy:An Initial Presentation of Diffuse Large B Cell Lymphoma
Neurological signs and symptoms are commonly associated with both Hodgkin’s and non-Hodgkin’s lymphoma and are mostly attributed to either direct lymphomatous involvement of the nervous system, either as a result of extension to the spinal cord or nerves, or due to infiltration by lymphoma cells and...
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doaj-8e29599dbc484b648689b099aaf210fc2020-11-25T02:12:32ZengShiraz University of Medical SciencesMiddle East Journal of Cancer 2008-67092008-66872013-01-01413538Acute Acquired Demyelinating Polyneuropathy:An Initial Presentation of Diffuse Large B Cell LymphomaMunira Shabbir-MoosajeeGhulam Rehman MohyuddinSara KhanAyeesha Kamran KamalNeurological signs and symptoms are commonly associated with both Hodgkin’s and non-Hodgkin’s lymphoma and are mostly attributed to either direct lymphomatous involvement of the nervous system, either as a result of extension to the spinal cord or nerves, or due to infiltration by lymphoma cells and drug toxicity. Guillain-Barre syndrome and its variants have been reported very infrequently in the literature. We present the case of a 70-year-old male admitted to the hospital for evaluation of uncontrolled hypertension. Incidentally, he was noted to have a low platelet count and a leukoerythroblastic picture in the peripheral blood. Two days into admission, he developed bilateral symmetrical ascending paresis consistent with acute acquired demyelinating polyneuropathy, a common variant of Guillain-Barre syndrome. At about the same time he developed worsening cytopenia and was diagnosed with diffuse large B cell lymphoma according to a bone marrow biopsy. The patient was treated with intravenous immunoglobulin for Guillain-Barre syndrome with significant improvement in muscle strength and subsequently treated with chemotherapy for his lymphoma.http://mejc.sums.ac.ir/index.php/mejc/article/view/141/222Guillain-Barre syndromeDiffuse large B cell lymphomaInitial presentationIntravenous immunoglobulin |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Munira Shabbir-Moosajee Ghulam Rehman Mohyuddin Sara Khan Ayeesha Kamran Kamal |
spellingShingle |
Munira Shabbir-Moosajee Ghulam Rehman Mohyuddin Sara Khan Ayeesha Kamran Kamal Acute Acquired Demyelinating Polyneuropathy:An Initial Presentation of Diffuse Large B Cell Lymphoma Middle East Journal of Cancer Guillain-Barre syndrome Diffuse large B cell lymphoma Initial presentation Intravenous immunoglobulin |
author_facet |
Munira Shabbir-Moosajee Ghulam Rehman Mohyuddin Sara Khan Ayeesha Kamran Kamal |
author_sort |
Munira Shabbir-Moosajee |
title |
Acute Acquired Demyelinating Polyneuropathy:An Initial Presentation of Diffuse Large B Cell Lymphoma |
title_short |
Acute Acquired Demyelinating Polyneuropathy:An Initial Presentation of Diffuse Large B Cell Lymphoma |
title_full |
Acute Acquired Demyelinating Polyneuropathy:An Initial Presentation of Diffuse Large B Cell Lymphoma |
title_fullStr |
Acute Acquired Demyelinating Polyneuropathy:An Initial Presentation of Diffuse Large B Cell Lymphoma |
title_full_unstemmed |
Acute Acquired Demyelinating Polyneuropathy:An Initial Presentation of Diffuse Large B Cell Lymphoma |
title_sort |
acute acquired demyelinating polyneuropathy:an initial presentation of diffuse large b cell lymphoma |
publisher |
Shiraz University of Medical Sciences |
series |
Middle East Journal of Cancer |
issn |
2008-6709 2008-6687 |
publishDate |
2013-01-01 |
description |
Neurological signs and symptoms are commonly associated with both Hodgkin’s and non-Hodgkin’s lymphoma and are mostly attributed to either direct lymphomatous involvement of the nervous system, either as a result of extension to the spinal cord or nerves, or due to infiltration by lymphoma cells and drug toxicity. Guillain-Barre syndrome and its variants have been reported very infrequently in the literature. We present the case of a 70-year-old male admitted to the hospital for evaluation of uncontrolled hypertension. Incidentally, he was noted to have a low platelet count and a leukoerythroblastic picture in the peripheral blood. Two days into admission, he developed bilateral symmetrical ascending paresis consistent with acute acquired demyelinating polyneuropathy, a common variant of Guillain-Barre syndrome. At about the same time he developed worsening cytopenia and was diagnosed with diffuse large B cell lymphoma according to a bone marrow biopsy. The patient was treated with intravenous immunoglobulin for Guillain-Barre syndrome with significant improvement in muscle strength and subsequently treated with chemotherapy for his lymphoma. |
topic |
Guillain-Barre syndrome Diffuse large B cell lymphoma Initial presentation Intravenous immunoglobulin |
url |
http://mejc.sums.ac.ir/index.php/mejc/article/view/141/222 |
work_keys_str_mv |
AT munirashabbirmoosajee acuteacquireddemyelinatingpolyneuropathyaninitialpresentationofdiffuselargebcelllymphoma AT ghulamrehmanmohyuddin acuteacquireddemyelinatingpolyneuropathyaninitialpresentationofdiffuselargebcelllymphoma AT sarakhan acuteacquireddemyelinatingpolyneuropathyaninitialpresentationofdiffuselargebcelllymphoma AT ayeeshakamrankamal acuteacquireddemyelinatingpolyneuropathyaninitialpresentationofdiffuselargebcelllymphoma |
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