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Rubin Cohen, MD

PALMS WEST OB-GYN ASSOCIATES PA

12953 PALMS WEST DR

BLDG 6 SUITE 101

Articles

A covert cause of hypoxemia: Intravascular pulmonary lymphoma

October 23, 2008

We describe a patient with intravascularpulmonary lymphomawho presented withprogressive dyspnea and hypoxemiawith normal chest radiographicfindings. After anunrevealing noninvasive evaluation,a high-grade B-cellintravascular lymphoma wasdiagnosed by bronchoscopywith transbronchial biopsy.Treatment with a modifiedCHOP regimen resulted in resolutionof the patient’s hypoxemiaand exercise limitation.Although intravascular pulmonarylymphoma rarely presentswith pulmonary symptoms,it should be consideredin the differential diagnosis ofpatients presenting with hypoxemiaand normal chest radiographicfindings.

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