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It was not until the autopsy reports demonstrated lymphocytes within the pulmonary vasculature that the clinical picture of altered mental status, weight loss and obstructive shock were unified to the diagnosis of intravascular large B-cell lymphoma.<\/jats:p>","DOI":"10.1136\/bcr-2013-201643","type":"journal-article","created":{"date-parts":[[2013,10,30]],"date-time":"2013-10-30T20:34:25Z","timestamp":1383165265000},"page":"bcr2013201643","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Massive splenomegaly and lymphopenia: a unique case of obstructive shock"],"prefix":"10.1136","volume":"2013","author":[{"given":"Nikhil Anand","family":"Huprikar","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Madigan Army Medical Center, Tacoma, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria T","family":"Kurtz","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Madigan Army Medical Center, Tacoma, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristin A","family":"Mount","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Madigan Army Medical Center, Tacoma, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,10,30]]},"reference":[{"key":"2025082802254872000_2013.oct30_1.bcr2013201643.1","unstructured":"Kumar A . 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