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Bullous pemphigoid and cholestatic hepatitis associated with Castleman's disease.
Authors:Murat Oksüz  Yilmaz Ergün  Ulkü Adam  Gülfiliz G?nlü?en  Y Fatih I?iksal  Melek Ergin  Fatin Ko?ak  Bahri Abayli  Hikmet Akkiz  Ay?e Akman
Affiliation:Cukurova University School of Medicine, Department of Gastroenterology, Adana. moksuz@mail.cu.edu.tr
Abstract:The case of a 21-yr-old woman admitted with a two-week history of icterus, fever, multiple peripheral lymphadenopathy and pruritic eruption is presented. A full evaluation including computed tomography, endoscopic retrograde cholangiography, liver, skin and lymph node biopsies and biochemical tests confirmed the diagnosis of multicentric Castleman's disease (angiofollicular lymph node hyperplasia). All symptoms improved within four weeks of commencing prednisone therapy. Castleman's disease should be considered in the differental daignosis of cholestatic hepatitis and bullous pemphigoid.
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