Abstract
We report a case of AILD and sicca syndrome. The patient had presented with renal insufficiency, lymphadenopathy, hepatosplenomegaly, polyclonal hypergammaglobulinaemia, dryness of the eyes and mouth. Lip biopsy specimens showed an unusual cellular infiltrate similar to his kidney lesions. Data from the eight previously reported cases support the hypothesis that the association is a distinct pathological entity differing from pseudolymphoma and malignant lymphoma, which occur in the course of Sjögren's syndrome. The recognition of AILD is important because lymphoproliferation may lead to death after a few months.
Full text
PDF



Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bisson M., Massias M., Segond P., Jacquot J. M., Brunaud M. D. Association d'une lymphadénopathie angio-immunoblastique et d'un syndrome de Gougerot-Sjögren. Nouv Presse Med. 1978 Jul 1;7(27):2393–2393. [PubMed] [Google Scholar]
- Chisholm D. M., Mason D. K. Labial salivary gland biopsy in Sjögren's disease. J Clin Pathol. 1968 Sep;21(5):656–660. doi: 10.1136/jcp.21.5.656. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Daniels T. E. Labial salivary gland biopsy in Sjögren's syndrome. Assessment as a diagnostic criterion in 362 suspected cases. Arthritis Rheum. 1984 Feb;27(2):147–156. doi: 10.1002/art.1780270205. [DOI] [PubMed] [Google Scholar]
- Davies P. G., Fordham J. N. Arthritis and angioimmunoblastic lymphadenopathy. Ann Rheum Dis. 1983 Oct;42(5):516–518. doi: 10.1136/ard.42.5.516. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Diebold J., Zittoun R., Tulliez M., Reynes M., Tricot G., Bernadou A., Audouin J. Pseudo-lymphomes et syndromes lympho-prolifératifs malins au cours du syndrome de Gougerot-Sjögren. Sem Hop. 1978 Oct 18;54(33-36):1033–1040. [PubMed] [Google Scholar]
- Díaz-Jouanen E., Ruíz-Argüelles G. J., Vega-Ortíz J. M., Villareal G., Alarcón-Segovia D. From benign polyclonal to malignant monoclonal lymphoproliferation in a patient with primary Sjögren's syndrome. Arthritis Rheum. 1981 Jun;24(6):850–853. doi: 10.1002/art.1780240613. [DOI] [PubMed] [Google Scholar]
- Faguet G. B., Webb H. H., Agee J. F., Ricks W. B., Sharbaugh A. H. Immunologically diagnosed malignancy in Sjögren's pseudolymphoma. Am J Med. 1978 Sep;65(3):424–429. doi: 10.1016/0002-9343(78)90768-4. [DOI] [PubMed] [Google Scholar]
- Frizzera G., Moran E. M., Rappaport H. Angio-immunoblastic lymphadenopathy. Diagnosis and clinical course. Am J Med. 1975 Dec;59(6):803–818. doi: 10.1016/0002-9343(75)90466-0. [DOI] [PubMed] [Google Scholar]
- Koo C. H., Nathwani B. N., Winberg C. D., Hill L. R., Rappaport H. Atypical lymphoplasmacytic and immunoblastic proliferation in lymph nodes of patients with autoimmune disease (autoimmune-disease-associated lymphadenopathy). Medicine (Baltimore) 1984 Sep;63(5):274–290. doi: 10.1097/00005792-198409000-00002. [DOI] [PubMed] [Google Scholar]
- Lukes R. J., Tindle B. H. Immunoblastic lymphadenopathy. A hyperimmune entity resembling Hodgkin's disease. N Engl J Med. 1975 Jan 2;292(1):1–8. doi: 10.1056/NEJM197501022920101. [DOI] [PubMed] [Google Scholar]
- Moor S. B., Harrison E. G., Jr, Weiland L. H. Angioimmunoblastic lymphadenopathy. Mayo Clin Proc. 1976 May;51(5):273–280. [PubMed] [Google Scholar]
- Pangalis G. A., Moran E. M., Nathwani B. N., Zelman R. J., Kim H., Rappaport H. Angioimmunoblastic lymphadenopathy. Long-term follow-up study. Cancer. 1983 Jul 15;52(2):318–321. doi: 10.1002/1097-0142(19830715)52:2<318::aid-cncr2820520221>3.0.co;2-g. [DOI] [PubMed] [Google Scholar]
- Patri B., Loison F., Dubrisay J., Vilde F., Diebold J. Adénopathies lymphangioimmunoblastiques, syndrome sec et sarcome de Kaposi purement viscéral. Ann Med Interne (Paris) 1980;131(8):528–530. [PubMed] [Google Scholar]
- Pierce D. A., Stern R., Jaffe R., Zulman J., Talal N. Immunoblastic sarcoma with features of Sjögren's syndrome and systemic lupus erythematosus in a patient with immunoblastic lymphadenopathy. Arthritis Rheum. 1979 Aug;22(8):911–916. doi: 10.1002/art.1780220816. [DOI] [PubMed] [Google Scholar]
- Talal N., Sokoloff L., Barth W. F. Extrasalivary lymphoid abnormalities in Sjögren's syndrome (reticulum cell sarcoma, "pseudolymphoma," macroglobulinemia). Am J Med. 1967 Jul;43(1):50–65. doi: 10.1016/0002-9343(67)90148-9. [DOI] [PubMed] [Google Scholar]