@article{oai:nagasaki-u.repo.nii.ac.jp:00014761, author = {Kaku, Norihito and Seki, Masafumi and Doi, Seiji and Hayashi, Tomayoshi and Imanishi, Daisuke and Imamura, Yoshifumi and Kurihara, Shintaro and Miyazaki, Taiga and Izumikawa, Koichi and Kakeya, Hiroshi and Yamamoto, Yoshihiro and Yanagihara, Katsunori and Tashiro, Takayoshi and Kohno, Shigeru}, issue = {24}, journal = {Internal Medicine}, month = {}, note = {A 58-year-old woman was admitted with refractory fever despite receiving broad-spectrum antibiotics. She had hypoxemia, severe anemia, elevated levels of serum lactic dehydrogenase and soluble interleukin-2 receptor, and a positive direct Coombs test, which suggested an underlying autoimmune hemolytic anemia (AIHA). Chest computed tomography (CT) showed no abnormal findings, but she had hypoxia, and her alveolar-arterial oxygen difference (A-aDO2) was increased. A random transbronchial lung biopsy (TBLB) was performed, and pathological analysis showed massive proliferation of tumor cells in the lumina of the small vessels. Intravascular large B-cell lymphoma (IVLBCL) was diagnosed, and her general status improved after chemotherapy., Internal Medicine, 49(24), pp.2697-2701; 2010}, pages = {2697--2701}, title = {A Case of Intravascular Large B-cell Lymphoma (IVLBCL) with no Abnormal Findings on Chest Computed Tomography Diagnosed by Random Transbronchial Lung Biopsy}, volume = {49}, year = {2010} }