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. 2023 Feb 2;16(2):197–211. doi: 10.1016/j.path.2023.01.007
Spleen
  • White pulp atrophy or depletion

  • Absence of marginal zones

  • Increased ratio of red: white pulp

  • Lymphoplasmacytic infiltrates

  • Immunoblast infiltrates

  • Red pulp necrosis

  • Red pulp congestion

  • Hemorrhage

  • Defective germinal centers

  • Absence of TFH cells

  • Altered lymphocyte subsets

  • Hemophagocytosis

  • Extramedullary megakaryocytes

Lymph nodes
  • Lymphocyte depletion

  • Absent or hypoplastic germinal centers

  • Sinus histiocytosis

  • Increased immunoblasts and plasmablasts

  • Vascular congestion with vascular transformation of sinuses

  • Hemorrhage