Inflammatory pseudotumor causing small bowel obstruction and mimicking lymphoma in a patient with AIDS: clinical improvement after initiation of thalidomide treatment.
A patient with AIDS was diagnosed with inflammatory pseudotumor with small bowel involvement. After receiving thalidomide treatment, serum tumor necrosis factor (TNF) and soluble TNF receptor II levels normalized, his constitutional and gastrointestinal symptoms diminished, and the mass lesion shrunk.
Aboulafia
D M
DM
Division of Hematology/Oncology, Virginia Mason Medical Center, Seattle, WA 98111-0900, USA. hemdma@vmmc.org
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications* / Q000188:drug therapy; D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006104:Granuloma, Plasma Cell / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007421:Intestine, Small; D016483:Lymphoma, AIDS-Related / Q000175:diagnosis; D008297:Male; D018124:Receptors, Tumor Necrosis Factor / Q000097:blood; D013792:Thalidomide / Q000627:therapeutic use*; D016896:Treatment Outcome; D014409:Tumor Necrosis Factor-alpha / Q000032:analysis
D019380:Anti-HIV Agents; D018124:Receptors, Tumor Necrosis Factor; D014409:Tumor Necrosis Factor-alpha; D013792:Thalidomide