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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Post Transplant Lymphoproliferative Disease Following Immunosuppression After Heart Transplant, Red Spot In Bowel. Suggestions ?

Hi my son has post transplant lymphoproliferative disease following 10 years of immunosuppression after heart transplant. he has been treated for with ritiximub for what they think but cant confirm b cell mediated. we had a pet scan a week ago and he now has a red spot within his bowel that has shown up. we have had biopsys taken. what possible diagnosis could we be facing
Fri, 8 Mar 2019
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Internal Medicine Specialist 's  Response
Hello,

Hot spot in the abdomen of pet scan in an immunosuppressed patient may be due to tubercular lymphadenitis or reactive lymphadenitis or cytomegalovirus infection or lymphoma etc.

Please consult your doctor treating doctor and do ultrasound abdomen if necessary CT scan of the abdomen. Then he will examine and treat you accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Penchila Prasad Kandikattu , Internal Medicine Specialist
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Post Transplant Lymphoproliferative Disease Following Immunosuppression After Heart Transplant, Red Spot In Bowel. Suggestions ?

Hello, Hot spot in the abdomen of pet scan in an immunosuppressed patient may be due to tubercular lymphadenitis or reactive lymphadenitis or cytomegalovirus infection or lymphoma etc. Please consult your doctor treating doctor and do ultrasound abdomen if necessary CT scan of the abdomen. Then he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Penchila Prasad Kandikattu , Internal Medicine Specialist