Castleman's disease (angiofollicular lymphoid hyperplasia) isa heterogeneous group of lymphoproliferative disorders of uncertaincause1. Two pathologic types, hyaline vascular and plasma-celldisease, have been recognized. The plasma-cell variant of Castleman'sdisease may be localized or multicentric. Multicentric diseaseis a systemic lymphoproliferative disorder characterized bylymphadenopathy, hepatosplenomegaly, and constitutional symptoms.Anemia, hypoalbuminemia, and hypergammaglobulinemia are alsocommon. Interleukin-6, a cytokine with pleiotropic effects onthe immune system, hematopoiesis, and acute-phase reactions,is a putative growth factor in multiple myeloma and may alsobe central to the pathophysiology of Castleman's disease2,3,4,5,6,7.Administration of a murine anti-interleukin-6 monoclonal antibody. . . [Full Text of this Article]
Methods
Case Report
Discussion
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From the Departments of Medicine and Pathology, Arkansas Cancer Research Center, University of Arkansas for Medical Sciences (J.T.B., D.V., K.H., S.J., B.B.), and the Department of Pathology, John L. McClellan Memorial Veterans Hospital (S.-M.H.) -- both in Little Rock; the Department of Hematology, Centre Hospitalier Universitaire, Nantes, France (R.B., B.K.); and the Innotherapie Laboratoires, Besancon, France (J.W.).
Address reprint requests to Dr. Barlogie at the University of Arkansas for Medical Sciences, Slot 508, 4301 W. Markham, Little Rock, AR 72205.
References
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