Table 3: Diseases that must be excluded for an iMCD diagnosis1
AUTOIMMUNE DISEASE |
MALIGNANT/ LYMPHO-PROLIFERATIVE DISORDERS |
INFECTION-RELATED DISORDERS |
---|---|---|
Rheumatoid arthritis | Lymphoma (Hodgkin and non-Hodgkin) | HHV-8 infection |
Systemic lupus erythematosus | Multiple myeloma | Clinical EBV-lymphoproliferative disorders e.g. infectious mononucleosis or chronic active EBV |
Adult-onset Still disease | Primary lymph node plasmacytoma | Inflammation and adenopathy caused by other uncontrolled infections e.g. toxoplasmosis, HIV, active TB |
Autoimmune lymphoproliferative syndrome | FDC sarcoma | - |
Juvenile idiopathic arthritis | POEMS syndrome* | - |
* MCD patients with POEMS are distinguished from iMCD because POEMS has a different natural history and therapeutic approach to iMCD.
References