title: Angiotropic B-cell lymphoma presenting with progressive dementia: an autopsy case and review of the literature in Japan.
abstract: We report an autopsy case of angiotropic lymphoma and review the literature in Japan. A 68-year-old female presented with transient right facial nerve palsy, right hemiplegia and progressive dementia. Laboratory studies showed raised erythrocyte sedimentation rate, C-reactive protein and serum lactate dehydrogenase. Computed tomography of the brain did not show any abnormal density areas but on T2-weighted magnetic resonance imaging high signal areas were recognized at the basal ganglia. She was diagnosed as having dementia caused by cerebrovascular insufficiency. She soon developed a febrile state and died of respiratory failure within three months of presentation. Postmortem examination showed widespread angiotropic B-cell lymphoma.
authors.affiliation: Department of Internal Medicine, Tokyo Metropolitan Police Hospital.
authors.forename: T
authors.initials: T
authors.lastname: Hayashi
authors.forename: E
authors.initials: E
authors.lastname: Watanabe
authors.forename: M
authors.initials: M
authors.lastname: Ogawa
authors.forename: M
authors.initials: M
authors.lastname: Terakura
authors.forename: Y
authors.initials: Y
authors.lastname: Nonaka
authors.forename: M
authors.initials: M
authors.lastname: Hirano
authors.forename: K
authors.initials: K
authors.lastname: Inoue
authors.forename: T
authors.initials: T
authors.lastname: Iizuka
authors.forename: H
authors.initials: H
authors.lastname: Oka
authors.forename: T
authors.initials: T
authors.lastname: Suzuki
mesh_terms: D000368:Aged; D015140:Dementia, Vascular / Q000175:diagnosis / Q000209:etiology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007564:Japan; D016393:Lymphoma, B-Cell / Q000150:complications* / Q000175:diagnosis