STEPHEN A. GELLER, M.D.; BARRY STIMMEL, M.D.
Before biopsies, five patients who were heroin addicts had been diagnosed as having malignant disease. Two patients had generalized peripheral reactive lymphadenitis. The third patient was treated for malignant lymphoma on the basis of a lymph node biopsy, which was later interpreted as showing reactive lymphadenitis. Two patients had malignant lymphoma. Lymph node enlargement in patients addicted to heroin should not be interpreted as necessarily a manifestation of nonspecific responses to intravenous contamination, particularly when areas other than those draining local injection sites are involved.
GELLER SA, STIMMEL B. Diagnostic Confusion from Lymphatic Lesions in Heroin Addicts. Ann Intern Med. ;78:703–705. doi: 10.7326/0003-4819-78-5-703
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Published: Ann Intern Med. 1973;78(5):703-705.
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