CD8+ T lymphocytes in bronchiolitis obliterans, paraneoplastic pemphigus, and solitary Castleman's disease

MA Hoffman, X Qiao, GJ Anhalt - New England Journal of …, 2003 - Mass Medical Soc
MA Hoffman, X Qiao, GJ Anhalt
New England Journal of Medicine, 2003Mass Medical Soc
To the Editor: Paraneoplastic pemphigus has been reported in patients with Castleman's
disease, and bronchiolitis obliterans in association with paraneoplastic pemphigus can
eventuate in respiratory failure and death. 1–4 Anatomically, there is a diffuse segmental
constrictive bronchiolitis of small bronchioles. 5 The cause of the bronchiolitis is obscure.
Acantholysis of bronchial epithelium and linear deposition of IgG and complement along the
lamina propria were observed on transbronchial biopsy in two patients, 2 suggesting that …
To the Editor: Paraneoplastic pemphigus has been reported in patients with Castleman's disease, and bronchiolitis obliterans in association with paraneoplastic pemphigus can eventuate in respiratory failure and death.14 Anatomically, there is a diffuse segmental constrictive bronchiolitis of small bronchioles.5 The cause of the bronchiolitis is obscure. Acantholysis of bronchial epithelium and linear deposition of IgG and complement along the lamina propria were observed on transbronchial biopsy in two patients,2 suggesting that autoantibodies may have a role.
A 52-year-old man presented with abdominal discomfort in December 1999. Computed tomography (CT) of the abdomen revealed a retroperitoneal mass, 12×8×6 cm, adjacent . . .
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