title: Rare manifestation of the thrombotic microangiopathy in a patient with sarcoidosis, common variable immunodeficiency and large B-cell non-hodgkin lymphoma: case report.
abstract: 58-year old Caucasian woman was diagnosed with sarcoidosis. Low immunoglobulin levels were found and common variable immunodeficiency (CVID) was diagnosed 1year later. Laboratory tests and clinical course at this time revealed thrombotic microangiopathy (TMA). Therapeutic plasma exchange was started and her clinical status and laboratory parameters improved. According to CVID she received human immunoglobulin intravenously. Four months later we noticed swelling of the parotid glands and generalized lymphadenopathy. Histology of cervical lymph node confirmed large B-cell non-Hodgkin lymphoma (B-cell NHL). To the best of our knowledge, TMA complicating the course of sarcoidosis, CVID and B-cell NHL has never been reported.
authors.affiliation: Clinic for Internal Medicine, Department of Dialysis, University Medical Centre Maribor, Ljubljanska 5, SI-2000 Maribor, Slovenia. robert.ekart2@guest.arnes.si
authors.forename: Robert
authors.initials: R
authors.lastname: Ekart
authors.forename: Vesna Kovačič
authors.initials: VK
authors.lastname: Grobelšek
authors.forename: Klara
authors.initials: K
authors.lastname: Dai
authors.forename: Peter
authors.initials: P
authors.lastname: Cernelč
authors.forename: Radovan
authors.initials: R
authors.lastname: Hojs
mesh_terms: D017074:Common Variable Immunodeficiency / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D008206:Lymphatic Diseases; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications* / Q000175:diagnosis; D008875:Middle Aged; D010306:Parotid Gland / Q000473:pathology; D012306:Risk; D012507:Sarcoidosis / Q000150:complications* / Q000175:diagnosis; D057049:Thrombotic Microangiopathies / Q000150:complications* / Q000175:diagnosis*
chemical_list: D016756:Immunoglobulins, Intravenous