Intravascular lymphoma - a rare cause of hemolytic anemia and neurologic disorders

Hematol J. 2004;5(5):444-6. doi: 10.1038/sj.thj.6200378.

Abstract

Intravascular lymphoma is an uncommon and often overlooked form of non-Hodgkin's lymphoma characterized by extensive proliferation of lymphoid cells within the lumina of small and medium-sized vessels. Clinical symptoms of the disease are variable and often nonspecific, mostly neurologic in nature. With an aggressive course, intravascular lymphomatosis has a poor prognosis and is rarely diagnosed ante mortem. We describe here a 76-year-old woman with the clinical diagnoses of hemolytic anemia and progressive lethargy where intravascular lymphomatosis turned out as the underlying cause of the disease.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anemia, Hemolytic / etiology*
  • Biomarkers, Tumor / blood
  • Diagnosis, Differential
  • Disease Progression
  • Fatal Outcome
  • Fatigue / etiology*
  • Female
  • Headache / etiology
  • Humans
  • L-Lactate Dehydrogenase / blood
  • Lymphoma, Large B-Cell, Diffuse / blood
  • Lymphoma, Large B-Cell, Diffuse / complications
  • Lymphoma, Large B-Cell, Diffuse / diagnosis*
  • Lymphoma, Large B-Cell, Diffuse / pathology
  • Multiple Organ Failure / etiology
  • Purpura, Thrombotic Thrombocytopenic / diagnosis
  • Sleep Stages
  • Uric Acid / blood
  • Vascular Neoplasms / blood
  • Vascular Neoplasms / complications
  • Vascular Neoplasms / diagnosis*
  • Vascular Neoplasms / pathology

Substances

  • Biomarkers, Tumor
  • Uric Acid
  • L-Lactate Dehydrogenase