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Previous Volume 354:1178-1184 March 16, 2006 Number 11 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 71-year-old woman was admitted to the hospital because of left-sided weakness and a mass in the brain. She had had Crohn's disease for many years but was in her usual state of health until three months before admission, when she became fatigued and required daily naps. Two months before admission, episodes of blurring of vision, occipital headaches, and an unsteady gait occurred. The patient's husband described her as "tilting to the left" when she walked, and she appeared to be depressed and angry.

Two weeks before admission, the patient noted an enlarging, nontender mass in her right inguinal area. . . . [Full Text of this Article]

Differential Diagnosis

Infection

Cancer

Lymphoma in Crohn's Disease

Infliximab and Lymphoma

Clinical Diagnosis

Dr. Daniel K. Podolsky's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Gastrointestinal Unit (D.K.P.) and the Departments of Radiology (R.G.G.) and Pathology (R.P.H.), Massachusetts General Hospital; and the Departments of Medicine (D.K.P.), Radiology (R.G.G.), and Pathology (R.P.H.), Harvard Medical School.

Related Letters:

Case 8-2006: A Woman with Crohn's Disease and Altered Mental Status
Moritz M. L., Ayus J. C., Harris N. L.
Extract | Full Text | PDF  
N Engl J Med 2006; 354:2833-2834, Jun 29, 2006. Correspondence

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• Finelli, P F, Naik, K, DiGiuseppe, J A, Prasad, A (2006). Primary lymphoma of CNS, mycophenolate mofetil and lupus. Lupus 15: 886-888 [Abstract]  
• Moritz, M. L., Ayus, J. C., Harris, N. L. (2006). Case 8-2006: a woman with Crohn's disease and altered mental status.. NEJM 354: 2833-2834 [Full Text]