Angiotropic B-cell lymphoma presenting with progressive dementia: an autopsy case and review of the literature in Japan.
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.
Hayashi
T
T
Department of Internal Medicine, Tokyo Metropolitan Police Hospital.
Watanabe
E
E
Ogawa
M
M
Terakura
M
M
Nonaka
Y
Y
Hirano
M
M
Inoue
K
K
Iizuka
T
T
Oka
H
H
Suzuki
T
T
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