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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1989-5-2
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pubmed:abstractText |
Castleman's disease of the plasma cell variant observed in 21 patients was investigated morphologically and by immunohistochemistry. The male to female ratio was 2.5:1. The age ranged from 18 to 71 years (mean age 47.6 years). Histologically, the lesions were characterized by numerous, evenly distributed germinal centres ranging from large hyperplastic to small hyaline-vascular types with moderate to extensive sheets of plasma cells in between. In all cases with generalized lymph node enlargement dilated sinuses could be found. Immunohistochemical studies demonstrated a polyclonal plasma cell population in 11 of 18 lesions. Seven lesions contained a monoclonal plasma cell population, five with IgG/lambda and two with IgA/lambda; clinically, two of these patients had generalized lymphadenopathy; in none could manifestation of a plasmacytoma be found outside the lymph node lesion; only two of the seven patients exhibited a paraproteinaemia (IgG/lambda and IgA/lambda, respectively) corresponding to the Ig type of the proliferated plasma cells. Six patients with polyclonal lesions had constitutional symptoms such as fever, anaemia, polyclonal hypergammaglobulinaemia; one of these six patients manifested symptoms consistent with a diagnosis of Takatsuki syndrome. The monoclonal plasma cell type of Castleman's disease did not progress to a generalized disease. This monoclonal variant may be a lymph nodebased type of benign monoclonal gammopathy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0309-0167
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
14
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
11-24
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2925176-Adolescent,
pubmed-meshheading:2925176-Adult,
pubmed-meshheading:2925176-Aged,
pubmed-meshheading:2925176-Female,
pubmed-meshheading:2925176-Giant Lymph Node Hyperplasia,
pubmed-meshheading:2925176-Humans,
pubmed-meshheading:2925176-Immunoglobulin A,
pubmed-meshheading:2925176-Immunoglobulin G,
pubmed-meshheading:2925176-Immunoglobulin M,
pubmed-meshheading:2925176-Immunohistochemistry,
pubmed-meshheading:2925176-Male,
pubmed-meshheading:2925176-Middle Aged,
pubmed-meshheading:2925176-Plasma Cells
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pubmed:year |
1989
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pubmed:articleTitle |
Monoclonality and polyclonality of plasma cells in Castleman's disease of the plasma cell variant.
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pubmed:affiliation |
Institute of Pathology, University of Vienna, Austria.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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