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11 June 2021: Articles

Case Report of Subclinical Myasthenia Gravis Associated with Castleman Disease

Rare coexistence of disease or pathology

Tuqa Adil Alsinan A* , Hassan Ahmad Robaidi A , Waleed Neamatallah Saleh A

DOI: 10.12659/AJCR.930948

Am J Case Rep 2021; 22:e930948

Figure 2. Hematoxylin and eosin-stained biopsy specimens. (A) Lymphoid follicle with small germinal center that is lymphocyte-depleted. Hyaline-vascular variant Castleman disease. Hyaline deposits are present within the germinal centers. (B) The germinal center of this follicle is partially lymphocyte-depleted and some of the follicular dendritic cells are mildly atypical. The follicle is surrounded by a mantle zone of concentric rings of small lymphocytes (“onion-skin” sign). (C) The follicle is radially penetrated by a prominent blood vessel (“lollipop” sign). (D) In the interfollicular region, blood vessels are lined by plump endothelial cells and are associated with cytologically mature plasma cells and small lymphocytes.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923