Detalhes bibliográficos
| Resumo: | The authors report a clinical case of an 83-year-old-woman who was attended the Emergency Service for decreased strength in her limbs. The physical examination presented tetraparesis, with muscle strength grade 1/5 in the lower limbs, grade 3/5 in the upper limbs and absent deep tendon reflexes. The lumbar puncture showed albuminocytologic dissociation. It was assumed a diagnosis of Guillain-Barre syndrome and immunoglobulins were started. Progressive clinical deterioration with respiratory failure and need of non-invasive ventilation have followed. Palpable abdominal mass, leading to an abdominal CT scan showed multiple nodules of peritoneal surfaces, large mass with 13 cm diameter and multiple enlarged lymph nodes. Biopsy of abdominal mass histology compatible with centroblastic variant of diffuse large B-cell lymphoma. Started corticosteroid therapy, with unfavorable clinical course, and the patient died. The authors report this case due to rare form the lymphoma was presented |
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| Autores principais: | Barbosa, Susana |
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| Outros Autores: | Pereira, Énio; Meireles Brandão, Lúcia; Felgueiras, Paula; Guerra, Diana; Pinto, Alfredo |
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| Assunto: | Debilidade Muscular Linforma não-Hodgkin Quadriplegia Síndrome de Guillain-Barré Guillain-Barre Syndrome Lymphoma, Non-Hodgkin Muscle Weakness Quadriplegia |
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| Ano: | 2015 |
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| País: | Portugal |
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| Tipo de documento: | artigo |
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| Tipo de acesso: | unknown |
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| Instituição associada: | Sociedade Portuguesa de Medicina Interna |
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| Idioma: | português |
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| Origem: | Revista Portuguesa de Medicina Interna |
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