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Article: Systemic inflammatory response syndrome in intravascular lymphomatosis

TitleSystemic inflammatory response syndrome in intravascular lymphomatosis
Authors
KeywordsIntravascular lymphomatosis
Systemic inflammatory response syndrome
Issue Date1997
PublisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00134/index.htm
Citation
Intensive Care Medicine, 1997, v. 23 n. 7, p. 783-786 How to Cite?
AbstractIntravascular lymphomatosis (IVL) is characterized by an intravascular proliferation of atypical mononuclear cells of haematopoietic origin occluding small blood vessels including venules, capillaries and small arteries, and can affect virtually any organ in the body. Clinically, the most common manifestations are involvement of the skin and central nervous system, although various organ involvement has been described. We report a patient who presented with fever and rash, and succumbed with acute neurological symptoms and systemic inflammatory response syndrome (SIRS) with no evidence of infection. The postmortem revealed disseminated involvement of virtually every organ with IVL, the malignant cells being of T-cell origin, which may secrete cytokines including tumour necrosis factor and interleukin-1, that are believed to be mediators in SIRS. In the absence of evidence of infection on microbiology and pathology, we postulate that the features of SIRS in this patient was due to the disseminated malignancy itself.
Persistent Identifierhttp://hdl.handle.net/10722/148072
ISSN
2015 Impact Factor: 10.125
2015 SCImago Journal Rankings: 3.765
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorIp, Men_HK
dc.contributor.authorChan, KWen_HK
dc.contributor.authorChan, IKLen_HK
dc.date.accessioned2012-05-29T06:10:41Z-
dc.date.available2012-05-29T06:10:41Z-
dc.date.issued1997en_HK
dc.identifier.citationIntensive Care Medicine, 1997, v. 23 n. 7, p. 783-786en_HK
dc.identifier.issn0342-4642en_HK
dc.identifier.urihttp://hdl.handle.net/10722/148072-
dc.description.abstractIntravascular lymphomatosis (IVL) is characterized by an intravascular proliferation of atypical mononuclear cells of haematopoietic origin occluding small blood vessels including venules, capillaries and small arteries, and can affect virtually any organ in the body. Clinically, the most common manifestations are involvement of the skin and central nervous system, although various organ involvement has been described. We report a patient who presented with fever and rash, and succumbed with acute neurological symptoms and systemic inflammatory response syndrome (SIRS) with no evidence of infection. The postmortem revealed disseminated involvement of virtually every organ with IVL, the malignant cells being of T-cell origin, which may secrete cytokines including tumour necrosis factor and interleukin-1, that are believed to be mediators in SIRS. In the absence of evidence of infection on microbiology and pathology, we postulate that the features of SIRS in this patient was due to the disseminated malignancy itself.en_HK
dc.languageengen_US
dc.publisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00134/index.htmen_HK
dc.relation.ispartofIntensive Care Medicineen_HK
dc.subjectIntravascular lymphomatosisen_HK
dc.subjectSystemic inflammatory response syndromeen_HK
dc.subject.meshAdulten_US
dc.subject.meshCytokines - Immunologyen_US
dc.subject.meshDiagnosis, Differentialen_US
dc.subject.meshFatal Outcomeen_US
dc.subject.meshHumansen_US
dc.subject.meshIntensive Careen_US
dc.subject.meshLymphoma, T-Cell - Complications - Pathology - Therapyen_US
dc.subject.meshMaleen_US
dc.subject.meshPolymerase Chain Reactionen_US
dc.subject.meshSystemic Inflammatory Response Syndrome - Etiologyen_US
dc.subject.meshVascular Diseases - Complications - Pathology - Therapyen_US
dc.titleSystemic inflammatory response syndrome in intravascular lymphomatosisen_HK
dc.typeArticleen_HK
dc.identifier.emailIp, M:msmip@hku.hken_HK
dc.identifier.emailChan, KW:hrmtckw@hku.hken_HK
dc.identifier.authorityIp, M=rp00347en_HK
dc.identifier.authorityChan, KW=rp00330en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1007/s001340050410en_HK
dc.identifier.pmid9290994-
dc.identifier.scopuseid_2-s2.0-0030757638en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0030757638&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume23en_HK
dc.identifier.issue7en_HK
dc.identifier.spage783en_HK
dc.identifier.epage786en_HK
dc.identifier.isiWOS:A1997XQ38100012-
dc.publisher.placeGermanyen_HK
dc.identifier.scopusauthoridIp, M=7102423259en_HK
dc.identifier.scopusauthoridChan, KW=16444133100en_HK
dc.identifier.scopusauthoridChan, IKL=7102336439en_HK

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