Development of Bullous Disease during Treatment of Pulmonary Marginal Zone B-Cell Lymphoma

We describe an unusual case of severe pulmonary bullous disease developing during treatment of marginal zone B-Cell lymphoma (MALT) involving the pulmonary parenchyma. The patient originally presented with pneumonia-like symptoms along with hemoptysis and was diagnosed with MALT lymphoma after a vid...

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Main Authors: S. Ansari, H. Dubaybo, E. Levi, B. A. Dubaybo
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2012/146081
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author S. Ansari
H. Dubaybo
E. Levi
B. A. Dubaybo
author_facet S. Ansari
H. Dubaybo
E. Levi
B. A. Dubaybo
author_sort S. Ansari
collection DOAJ
description We describe an unusual case of severe pulmonary bullous disease developing during treatment of marginal zone B-Cell lymphoma (MALT) involving the pulmonary parenchyma. The patient originally presented with pneumonia-like symptoms along with hemoptysis and was diagnosed with MALT lymphoma after a video-assisted thoracic surgical (VATS) lung biopsy. Computed tomography (CT) of the chest at diagnosis revealed multiple opacities, but no bullous disease. During the ensuing 4 years, and while on chemotherapy for the MALT lymphoma, sequential CT and pulmonary function tests revealed the development of progressive bullous disease resulting in the replacement of large portions of the lung parenchyma with bilateral bullae. This complication is rare, has been reported only once before in a patient with concomitant amyloidosis, and may be related to activation of proteolytic enzymes by lymphoma cells or chemotherapeutic agents.
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spelling doaj-art-f3be0706e2c44ff7852adffb7d460f032025-02-03T01:10:48ZengWileyCase Reports in Pulmonology2090-68462090-68542012-01-01201210.1155/2012/146081146081Development of Bullous Disease during Treatment of Pulmonary Marginal Zone B-Cell LymphomaS. Ansari0H. Dubaybo1E. Levi2B. A. Dubaybo3Department of Internal Medicine, Wayne State University School of Medicine, 4201 St. Antoine, UHC-2E, Detroit, MI 48201, USADepartment of Internal Medicine, Wayne State University School of Medicine, 4201 St. Antoine, UHC-2E, Detroit, MI 48201, USAMedical Service, John D. Dingell VAMC, Detroit, MI 48201, USADepartment of Internal Medicine, Wayne State University School of Medicine, 4201 St. Antoine, UHC-2E, Detroit, MI 48201, USAWe describe an unusual case of severe pulmonary bullous disease developing during treatment of marginal zone B-Cell lymphoma (MALT) involving the pulmonary parenchyma. The patient originally presented with pneumonia-like symptoms along with hemoptysis and was diagnosed with MALT lymphoma after a video-assisted thoracic surgical (VATS) lung biopsy. Computed tomography (CT) of the chest at diagnosis revealed multiple opacities, but no bullous disease. During the ensuing 4 years, and while on chemotherapy for the MALT lymphoma, sequential CT and pulmonary function tests revealed the development of progressive bullous disease resulting in the replacement of large portions of the lung parenchyma with bilateral bullae. This complication is rare, has been reported only once before in a patient with concomitant amyloidosis, and may be related to activation of proteolytic enzymes by lymphoma cells or chemotherapeutic agents.http://dx.doi.org/10.1155/2012/146081
spellingShingle S. Ansari
H. Dubaybo
E. Levi
B. A. Dubaybo
Development of Bullous Disease during Treatment of Pulmonary Marginal Zone B-Cell Lymphoma
Case Reports in Pulmonology
title Development of Bullous Disease during Treatment of Pulmonary Marginal Zone B-Cell Lymphoma
title_full Development of Bullous Disease during Treatment of Pulmonary Marginal Zone B-Cell Lymphoma
title_fullStr Development of Bullous Disease during Treatment of Pulmonary Marginal Zone B-Cell Lymphoma
title_full_unstemmed Development of Bullous Disease during Treatment of Pulmonary Marginal Zone B-Cell Lymphoma
title_short Development of Bullous Disease during Treatment of Pulmonary Marginal Zone B-Cell Lymphoma
title_sort development of bullous disease during treatment of pulmonary marginal zone b cell lymphoma
url http://dx.doi.org/10.1155/2012/146081
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