Hans J.J. van der Vliet, MD, PhD; Roos M. Perenboom, MD, PhD
The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:
•Include no more than 300 words of text, three authors, and five references
•Type with double-spacing
•Send three copies of the letter, an authors' form signed by all authors, and a cover letter describing any conflicts of interest related to the contents of the letter.
Letters commenting on an Annals article will be considered if they are received within 6 weeks of the time the article was published. Only some of the letters received can be published. Published letters are edited and may be shortened; tables and figures are included only selectively. Authors will be notified that the letter has been received. If the letter is selected for publication, the author will be notified about 3 weeks before the publication date. Unpublished letters cannot be returned.
Annals welcomes electronically submitted letters.
van der Vliet HJ, Perenboom RM. Multiple Pseudotumors in IgG4-Associated Multifocal Systemic Fibrosis. Ann Intern Med. 2004;141:896-897. doi: 10.7326/0003-4819-141-11-200412070-00033
Download citation file:
Published: Ann Intern Med. 2004;141(11):896-897.
TO THE EDITOR:
Background: The work-up of patients with multiple tumors frequently provides evidence of metastatic disease.
Objective: We present the case of a patient with tumors in the brain, lung, and submandibular region after a previous pancreatic tumor who received a diagnosis of multifocal systemic fibrosis.
Case Report: A 66-year-old woman presented with a 2-week history of nausea, headache, and fever. Three years earlier, a Whipple procedure was performed for a pancreatic tumor. Pathologic examination had shown focal pancreatitis and fibrosis, but no malignant disease. At the current presentation, bilateral firm submandibular masses were noted. Cytologic examination of one of these masses was nonspecific, and histologic examination demonstrated glandular tissue with scattered areas of lymphoid infiltration and fibrosis. Because of right-sided hydronephrosis and a urine culture positive for Escherichia coli, the patient was treated with a nephrostomy drain and intravenous ceftriaxone, 2 g/d, without resolution of fever.
Learn more about subscription options.
Register Now for a free account.
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only