Intravascular lymphoma presenting with postural hypotension.
Catharine PearceSuzy V HopeJoseph ButchartPublished in: BMJ case reports (2018)
An 84-year-old woman presented with severe postural hypotension. Further assessment revealed weight loss, fatigue and fever at night. On examination, she had bilateral skin lesions on the inner thighs and skin biopsy revealed intravascular high grade B cell lymphoma. This was successfully treated with curative chemotherapy. The cause of the postural hypotension in this case was felt likely to be autonomic neuropathy caused by neurovascular infiltration by intravascular lymphoma. Treatment of the lymphoma has resolved the postural hypotension, although some symptoms of postural instability persist.
Keyphrases
- diffuse large b cell lymphoma
- high grade
- weight loss
- coronary artery
- case report
- sleep quality
- single cell
- soft tissue
- bariatric surgery
- type diabetes
- early onset
- low grade
- heart rate
- rectal cancer
- physical activity
- squamous cell carcinoma
- locally advanced
- replacement therapy
- smoking cessation
- obese patients
- clinical evaluation