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 ADOI: 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.