[Kaposi's disease simulating splenolymphatic lymphoma, toxoplasmosis, terminal cryptococcosis. 1979].
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Biomedical subjects
Publications and source records attributed to S Lammy.
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Two severe cases of virus A influenza with splenomegaly are reported. An underlying hematological disorder was suspected in both cases but the diagnosis could not be confirmed during the acute infectious episodes. The exact diagnosis was made two years later in the first case and seven years later in the second case. Both patients lead normal lives seven years later. The authors emphasise the similarity between the two cases with severe influenza at a very early stage of the disease when there were no changes in the blood count to explain the immune deficit.
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The authors describes four cases of lupus erythematosus (LE) diagnosed during the course of a medication toxicodermia, which was always acute and variable in its severity (in one case it concerned a Lyell's syndrome). The lupus affection was made evident by the toxicodermia and lupic manifestations may regress spontaneously after recovery from the skin disorder. This emphasizes the value of clinical and biological testing for the presence of LE in severe cases of toxicodermia in women, more particularly immunofluorescent studies of the basal structures in the cutaneous lesions.
The authors report a case of Kaposi's sarcome (K.S.) characterized by the small degree of cutaneous involvement as opposed to splenic and lymphatic invasion, lymphoplasmocytic infiltration of the bone marrow, and opportunistic infections (toxoplasmosis, and cryptococcosis). The rapid mortal outcome and the anatomoclinical characteristics of the K.S. enable this case to be classified as one of the rare types of malignant K.S. with pseudo-cryptoccosis features.
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