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Acute Respiratory Distress Syndrome

Acute Respiratory Distress Syndrome POSTMORTEM evidence of pulmonary involvement was found in 40% of patients with malignant lymphoma.1 During the course of the disease, approximately 7% of the patients showed hilar lymphadenopathy. Pulmonary parenchymal infiltration is rare.2 A clinical syndrome directly related to pulmonary infiltration was described in a few single cases as a terminal event of a rapidly progressive disease.3 In this report, we describe three patients in whom an acute respiratory distress syndrome was the presenting symptom of malignant lymphoma. Report of Cases Case 1.— A 72-year-old man had severe respiratory distress that had developed over the previous four days. On examination, there were tachypnea, cyanosis, and tachycardia, but no fever. Coarse crepitations and occasional rhonchi were audible over both lungs. There was no venous congestion, and the liver and the spleen were not enlarged. The left anterior cervical lymph nodes were enlarged. There was a necrotic area on http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Acute Respiratory Distress Syndrome

JAMA , Volume 241 (20) – May 18, 1979

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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1979.03290460055023
Publisher site
See Article on Publisher Site

Abstract

POSTMORTEM evidence of pulmonary involvement was found in 40% of patients with malignant lymphoma.1 During the course of the disease, approximately 7% of the patients showed hilar lymphadenopathy. Pulmonary parenchymal infiltration is rare.2 A clinical syndrome directly related to pulmonary infiltration was described in a few single cases as a terminal event of a rapidly progressive disease.3 In this report, we describe three patients in whom an acute respiratory distress syndrome was the presenting symptom of malignant lymphoma. Report of Cases Case 1.— A 72-year-old man had severe respiratory distress that had developed over the previous four days. On examination, there were tachypnea, cyanosis, and tachycardia, but no fever. Coarse crepitations and occasional rhonchi were audible over both lungs. There was no venous congestion, and the liver and the spleen were not enlarged. The left anterior cervical lymph nodes were enlarged. There was a necrotic area on

Journal

JAMAAmerican Medical Association

Published: May 18, 1979

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