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  Vol. 22 No. 5, May 1970 TABLE OF CONTENTS
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Malignant Lymphoma Associated With Hydantoin Drugs

James J. Anthony

Arch Neurol. 1970;22(5):450-454.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

LYMPHADENOPATHY has been recognized as one of the less common side effects of the hydantoin drugs1-3 for more than a quarter of a century. These drugs have been available for the treatment of epilepsy since 1938. Lymphadenopathy in these patients had been considered a hypersensitivity reaction because of the frequent occurrence of eosinophilia, and benign since it disappeared with discontinuation of the hydantoin. There is a dearth of knowledge about the mechanism of hydantoin lymphadenopathy.

The benignancy of this lymphadenopathy has been questioned.4-6 Great difficulty has been encountered in the differentiation between "benign" and malignant lymphoid reactions in general.4 Hyman and Sommers7 reported six cases of lymphoma in association with hydantoin therapy.

A study was undertaken with the hope of clarifying the relationship between hydantoin therapy and malignant lymphoma. A review of the literature was processed, and then a retrospective study of necropsies undertaken to . . . [Full Text PDF of this Article]


Author Affiliations

Cincinnati

From the Department of Neurology, University of Cincinnati College of Medicine and the Cincinnati General Hospital, Cincinnati. Mr. Anthony is a senior medical student at the University of Cincinnati College of Medicine.


Footnotes

Submitted for publication Aug 25, 1969; accepted Oct 20.

Reprint requests to Department of Neurology, Cincinnati General Hospital, Cincinnati 45229 (Mr. Anthony).



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