Coexistencia entre polimiositis y enfermedad de Castleman; presentación de un caso.

Article Sidebar

PDF (Español)
Published: Nov 18, 2015
DOI: https://doi.org/10.23878/medicina.v19i1.632
Keywords:
hiperplasia de ganglio linfático gigante, ganglios linfáticos, miositis. giant lymph node hyperplasia, lymph nodes, myositis.

Main Article Content

Antonio Wong
Hospital Juarez de México
http://orcid.org/0000-0003-3752-2307
Rosa Barbosa Cobos
Hospital Juarez de México
Cristina Cuesta Mejias
Karla Campozano Vásquez
Universidad Católica de Santiago de Guayaquil

Abstract

La coexistencia entre la enfermedad de Castleman y polimiopatia inflamatoria idiopática es poco conocida por cuanto existe pocos casos referentes a estas dos patologías juntas. Las características histopatológicas de los nódulos linfáticos asociados en estas dos entidades son similares, haciendo su diferenciación más difícil. La resolución quirúrgica del tumor conlleva, en la mayoría de casos a la mejoría de las manifestaciones autoinmunes, aunque en ciertos casos, el uso de glucocorticoides, radioterapia, quimioterapia y tratamiento biológicos pueden ser usados cuando la opción quirúrgica no es suficiente. Se propone como parte de la fisiopatología de la enfermedad de Castleman, compartida en ciertas enfermedades autoinmunes, la inmunoactivación celular asociada con niveles altos de interleukina 6 y otros reactantes de fase aguda, así como ciertos procesos infecciosos como el virus de inmunodeficiencia adquirida y el virus del Epstein-Barr. Se presenta el caso de una mujer de 17 años con diagnóstico de enfermedad de Castleman variante hialino vascular y polimiositis.

Article Details

How to Cite
1.
Wong A, Barbosa Cobos R, Cuesta Mejias C, Campozano Vásquez K. Coexistencia entre polimiositis y enfermedad de Castleman; presentación de un caso. Rev. Med. UCSG [Internet]. 2015 Nov. 18 [cited 2024 Dec. 22];19(1):39-44. Available from: https://rmedicina.ucsg.edu.ec/index.php/ucsg-medicina/article/view/632
Issue
Vol. 19 No. 1 (2015)
Section
Reporte de Casos
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Author Biographies

Antonio Wong, Hospital Juarez de México

Departamento de reumatología, médico tratante

Rosa Barbosa Cobos, Hospital Juarez de México

Jefa departamento reumatología

 

Cristina Cuesta Mejias

Médica adscrita departamento de anatomia patológica

References

Castleman B, Iverson L, Menendez VP. Localized mediastinal lymphnode hyperplasia resembling thymoma. Cancer. 1956;9(4):822.

Day JR, Bew D, Ali M, Dina R, Smith PL. Castleman’s Disease Associated With Myasthenia Gravis. Annals Thoracic Surgery 2003;75:1648–50

Peterson BA, Frizzera G. Multicentric Castleman's disease. Semin Oncol. 1993; 20(6):636.

Tazi I, Rachid M, Quessar A, Benchekroun S. A Rare Association of Castleman’s Disease and Nephrotic Syndrome. Saudi J Kidney Dis Transplant 2011;22(1):116-119.

Xia JY, Chen XY, Xu F, Yang Y, Wang HY, Xue J. A case report of systemic lupus erythematosus combined with Castleman’s disease and literature review. Rheumatol Int 2012;32:2189–2193.

De Marchi G, De Vita S, Fabris M, Scott CA, Ferraccioli G. Systemic connective tissue disease complicated by Castleman`s disease: report of a case and review of the literatura. Haematologica 2004 Apr;89(4):ECR03.

Muskardin TW, Peterson BA, Molitor JA. Castleman disease and associated autoimmune disease. Curr Opin Rheumatol. 2012 Jan;24(1):76-83.

Kim KJ, Cho CS, Choi JJ. Pararenal retroperitoneal Castleman’s disease mimicking systemic lupus erythematosus. Int J Rheum Dis. 2010 Aug;13(3):e20-5.

Lv J, Zhang H, Zhou F, Zou W, Singh AK, Wang H. Antiglomerular Basement Membrane Disease Associated With Castleman Disease. Am J Med Sci. 2009 Mar;337(3): 206-9.

Higashi K, Matsuki Y, Hidaka T, Aida S, Suzuki K, Nakamura H. Primary Sjogren’s Syndrome Associated with Hyaline-vascular Type of Castleman’s Disease and Autoimmune Idiopathic Thrombocytopenia. Scand J Rheumatol l997;26:482-4.

Liberato NL, Bollati P, Chiofalo F, Filipponi M, Poli M. Autoimmune hemolytic anemia in multicentric Castleman's disease. Haematologica 1996; 81:40-43.

Rojas R, Martin C, Roman J, Garcia JM, Marchal T, Torres A. Autoimmune haemolytic anaemia presenting 9 years prior to Castleman’sdisease. Br J Haematol. 1994 Feb;86(2):431-2.

Kanneboyina Nagaraju, Ingrid E. Lundberg. Inflammatory disease of muscle and other myopathies. Kelley`s textebook of Rheumatology, 9th edition, Saunders 2013; 85: 1404-30.

Bendewald MJ, Wetter DA, Li X, Davis MD. Incidence of dermatomyositis and clinically amyopathic dermatomyositis: a population-based study in Olmsted County, Minnesota. Arch Dermatol. 2010;146(1): 26.

Dong Y, Na J, Lv J, Wang R, Chen X, Li N, Ren H. Clinical and laboratory characterization of a large cohort of patients with Castleman disease retrospectively collected from a single center. Leuk Lymphoma. 2009 Aug;50(8):1308-17.

Hung IJ, Lin JJ, Yang CP, Hsueh C. Paraneoplastic Syndrome and Intrathoracic Castleman Disease. Pediatr Blood Cancer. 2006 Oct 15;47(5):616-20.

Frizzera G, Massarelli G, Banks PM, Rosai J. A systemic lymphoproliferative disorder with morphologic features of Castleman’s disease. Pathological findings in 15 patients. Am. J. Surg. Pathol. 1983; 7: 211–231.

Blanco R, McLaren B, Davis B, Steele P, Smith R. Systemic lupus erythematosus associated lymphoproliferative disorder: Report of a case and discussion in light of the literature. Hum Pathol 1997; 28: 980-5.

Kojima M, Nakamura S, Morishita Y, Itoh H, Yoshida K, Ohno Y, Oyama T, Asano S, Joshita T, Mori S, Suchi T, Masawa N. Reactive follicular hyperplasia in the lymph node lesions from systemic lupus erythematosus patients: A clinico- pathological and immunohistological study of 21 cases. Pathol Int 2000; 50: 304-12.

Kojima M, Nakamura S, Itoh H, Yoshida K, Asano S, Yamane N, Komatsumoto S, Ban S, Joshita T, Suchi T. Systemic Lupus Erythematosus (SLE) Lymphadenopathy Presenting with Histopathologic Features of Castleman'Disease: A Clinicopathologic Study of Five Cases. Pathol. Res. Pract. 1997; 193: 565-571.

Ben-Chetrit E, Flusser D, Okon E, Ackerman Z, Rubinow A. Multicentric Castleman's disease associated with rheumatoid arthritis: a possible role of hepatitis B antigen. Annals of the Rheumatic Diseases 1989; 48: 326-330.

Kojima M, Matsuda H, Iijima M, Yoshida K, Masawa N, Nakamura S. Reactive hyperplasia with giant follicles in lymph node lesions from systemic lupus erythematosus patients. APMIS 2005; 113: 558–63.

Bianchi MM, Narváez J, Santo P, Ríos-Rodriguez V, de la Fuente D, Roig-Vilaseca D, Nolla JM. Multicentric Castleman’s disease mimicking adult-onset Still’s disease. Joint Bone Spine 2009; 76: 304-307.

Charli-Joseph Y, Fernández-Sánchez M, Saeb-Lima M, Orozco-Topete R. POEMS syndrome: Are current diagnostic criteria too exclusive? . J Am Acad Dermatol. 2011 Aug;65(2):415-7.

Wasielica-Berger J, Kaniewska M, Cepowicz D, Wereszczynska-Siemiatkowska U, Kedra B, Dabrowski A. Castleman Disease Imitating Pancreatic Tumor Presenting With Pericardial and Pleural Effusion. Pancreas. 2007 Nov;35(4):382-4.

Owens CL, Weir EG, Ali SZ. Cytopathologic Findings in ‘‘POEMS’’ Syndrome Associated With Castleman Disease. Diagn Cytopathol. 2007 Aug;35(8):512-5.

Curioni S, D'Amico M, Quartagno R, Martino S, Dell'Antonio G, Cusi D. Castleman's disease with nephrotic syndrome, amyloidosis and autoimmune manifestations. Nephrol Dial Transplant. 2001 Jul;16(7):1475-8.

Komatsuda A, Wakui H, Togashi M, Sawada K. IgA Nephropathy Associated With Castleman Disease With Cutaneous Involvement. Am J Med Sci. 2010 May;339(5):486-90.

Marie I, Guillevin L, Menard JF, Hatron PY, Cherin P, Amoura Z, Cacoub P, Bachelez H, Buzyn A, Le Roux G, Ziza JM, Brice P, Munck JN, Sarrot-Reynauld F, Piette JC, Larroche C. Hematological malignancy associated with polymyositis and dermatomyositis. Autoimmun Rev. 2012 Jul;11(9):615-20.

Zampieri S, Valente M, Adami N, Biral D, Ghirardello A, Rampudda ME, Vecchiato M, Sarzo G, Corbianco S, Kern H,

Carraro U, Bassetto F, Merigliano S, Doria A. Polymyositis, dermatomyositis and malignancy: A further intriguing link. Autoimmun Rev. 2010 Apr;9(6):449-53.

Chao LW, Wei LH. Dermatomyositis as the initial presentation of ovarian cancer. Taiwan J Obstet Gynecol. 2009 Jun;48(2):178-80.

Azuma K, Yamada H, Ohkubo M, Yamasaki Y, Yamasaki M, Mizushima M, Ozaki S. Incidence and predictive factors for malignancies in 136 Japanese patients with dermatomyositis, polymyositis and clinically amyopathic dermatomyositis. Mod Rheumatol 2011; 21:178–183.