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Hi all!!!

I know that I am not around here a lot.

As of last November I started getting some strange symptoms, I started having night sweats, fever of appox 100, caughing, loss of appetite etc. So my GI sent me to have a CT Scan turns out that I had enlarged lymph nodes. Subsequently my GI sent me to a Hematologist/ Oncolologist as he was afraid that it was NH Lymphoma. The HO sent me for a Pet Scan which showed lymph nodes lighting up, and a mass at the in my chest. I just had a full (not fine needly) biopsy on my chest and one lymph node in my belly. The results were - HYPERPLASIA and not lymphoma. Would anyone know what that is and how that would be treated. I know it is not directly related to PSC CD or UC but from what I know it is related to the autoimmune system.

Thanks in advance!!

Shaul

PSC UC (For a long time) mid 90'sStart the year off right. Easy ways to stay in shape in the new year.

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Hi Shaul;

The only 'encounter' I have had with lymphoid hyperplasia was when my

son (, with PSC and UC) was found to have an area of lymphoid

hyperplasia in his terminal ileum during his colonoscopy about 18

months ago. We were told that it was nothing to worry about ... but I

was concerned. Fortunately, during his last colonoscopy (about 1

month ago), the terminal ileum now looked normal! I can't explain

why/how this occurred.

One cause of enlarged lymph nodes (non-malignant hyperplasia) could

be Castleman's disease. A few links are provided below:

ICDO - International Castlemans Disease Organization

http://www.castlemans.org/

Castleman's disease (Wikipedia)

http://en.wikipedia.org/wiki/Castleman's_disease

Castleman's disease (Mayo Clinic)

http://www.mayoclinic.com/health/castleman-disease/DS01000

Some forms of the disease seem to be caused by viruses, and others by

hyperproliferation of B cells that produce inflammatory cytokines

like interleukin-6. The former has been treated with anti-viral

agents, and the latter with a new B cell antibody called rituximab.

A case report is described in this paper ... here steroid therapy

induced remission:

http://www.jmedicalcasereports.com/content/1/1/78

I hope that this information helps, and that the biopsy specimens

will help choose the right treatment.

The complications of PSC and IBD never cease to amaze me.

Best regards,

Dave

(father of (22); PSC 07/03; UC 08/03)

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