Superior vena cava syndrome and telangiectasia in a man with lymphoma

Bruno, Tony F.; Donoff, Michel
November 2007
CMAJ: Canadian Medical Association Journal;11/6/2007, Vol. 177 Issue 10, p1177
Academic Journal
The article focuses on the 30-year-old man who had shortness of breath five days after returning from Hawaii. He reported a two-week history of progressive difficulty in breathing and pain between his shoulder blades when he is in supine position. He also had a nonpruritic rash on his torso for about one week that had spontaneously resolved before he returned to Canada. Examination revealed a band of telangiectasia on the anterior portion of his lower chest. A radiograph showed an anterior mediastinal mass and normal lungs and pleura. The patient's lymphoma was diagnosed because he showed an acute superior vena cava syndrome where patient experience respiratory problems and coughing, especially in supine position because gravity engages the mass directly against the superior vena cava.


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