Abstract

SAGER, Lorena et al. Cervical lymph nodes in rheumatology: A diagnostic dilemma. Rev.Colomb.Reumatol. [online]. 2022, vol.29, n.3, pp.205-213.  Epub Aug 28, 2023. ISSN 0121-8123.  https://doi.org/10.1016/j.rcreu.2020.07.002.

The case is presented on a 52-year-old male patient, who was seen in the Rheumatology department. He had painless lymph nodes in the cervical, axillary, supraclavicular, and neck region. He also had a fever, and parotid and submaxillary gland enlargement. Complementary studies were performed, showing normocytic-normochromic anemia, thrombocytopenia and eosinophilia, impaired renal function with hypoalbuminaemia and hematuria, ANA 1/5120, Sm+, ACL+. Biopsies were also performed on the compromised tissues, reaching the diagnosis of Rosai-Dorfman Disease and IgG4-related Disease. Differential diagnoses of cervical, axillary and inguinal lymph nodes, with fever, renal and hematological compromise are discussed.

Keywords : Immunoglobulin G4-related disease; Rosai-Dorfman disease; Lymph nodes.

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