{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:17:02Z","timestamp":1762431422794,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,1,13]]},"abstract":"<jats:p>An 84-year-old woman presented with severe postural hypotension. Further assessment revealed weight loss, fatigue and fever at night. On examination, she had bilateral skin lesions on the inner thighs and skin biopsy revealed intravascular high grade B cell lymphoma. This was successfully treated with curative chemotherapy. The cause of the postural hypotension in this case was felt likely to be autonomic neuropathy caused by neurovascular infiltration by intravascular lymphoma. Treatment of the lymphoma has resolved the postural hypotension, although some symptoms of postural instability persist.<\/jats:p>","DOI":"10.1136\/bcr-2017-221803","type":"journal-article","created":{"date-parts":[[2018,1,29]],"date-time":"2018-01-29T08:35:13Z","timestamp":1517214913000},"page":"bcr-2017-221803","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Intravascular lymphoma presenting with postural hypotension"],"prefix":"10.1136","volume":"2018","author":[{"given":"Catharine","family":"Pearce","sequence":"first","affiliation":[{"name":"Healthcare for Older People Department, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7343-0149","authenticated-orcid":false,"given":"Suzy","family":"Hope","sequence":"additional","affiliation":[{"name":"Healthcare for Older People Department, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK"},{"name":"Diabetes and Vascular Research Centre, University of Exeter Medical School, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Butchart","sequence":"additional","affiliation":[{"name":"Healthcare for Older People Department, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,1,29]]},"reference":[{"key":"2025082707244990000_2018.jan27_1.bcr-2017-221803.1","first-page":"527","article-title":"Evaluation and management of orthostatic hypotension","volume":"84","author":"Lanier","year":"2011","journal-title":"Am Fam Physician"},{"key":"2025082707244990000_2018.jan27_1.bcr-2017-221803.2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2006.08.2313"},{"key":"2025082707244990000_2018.jan27_1.bcr-2017-221803.3","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1111\/imj.13414","article-title":"Disturbances in blood flow and \u2019medicine\u2019s greatest imitator'","volume":"47","author":"Del Paggio","year":"2017","journal-title":"Intern Med J"},{"key":"2025082707244990000_2018.jan27_1.bcr-2017-221803.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.2004.05177.x"},{"key":"2025082707244990000_2018.jan27_1.bcr-2017-221803.5","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.50.9.1173"},{"key":"2025082707244990000_2018.jan27_1.bcr-2017-221803.6","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/s12883-015-0509-8","article-title":"Neurological presentations of intravascular lymphoma (IVL): meta-analysis of 654 patients","volume":"16","author":"Fonkem","year":"2016","journal-title":"BMC Neurol"},{"key":"2025082707244990000_2018.jan27_1.bcr-2017-221803.7","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2014-03-537506"},{"key":"2025082707244990000_2018.jan27_1.bcr-2017-221803.8","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1002\/ajh.20627","article-title":"Adrenal enlargement and insufficiency: a common presentation of intravascular large B-cell lymphoma","volume":"81","author":"Askarian","year":"2006","journal-title":"Am J Hematol"},{"key":"2025082707244990000_2018.jan27_1.bcr-2017-221803.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(99)00191-6"},{"key":"2025082707244990000_2018.jan27_1.bcr-2017-221803.10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2012\/849285","article-title":"Silent intravascular lymphoma initially manifesting as a unilateral adrenal incidentaloma","volume":"2012","author":"Takahashi","year":"2012","journal-title":"Case Rep Med"},{"key":"2025082707244990000_2018.jan27_1.bcr-2017-221803.11","doi-asserted-by":"publisher","DOI":"10.1530\/acta.0.1210067"},{"key":"2025082707244990000_2018.jan27_1.bcr-2017-221803.12","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.52.1.28"},{"key":"2025082707244990000_2018.jan27_1.bcr-2017-221803.13","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.330.7499.1080"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-221803","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:24:58Z","timestamp":1756304698000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-221803"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,29]]},"references-count":13,"alternative-id":["10.1136\/bcr-2017-221803"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-221803","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,1,29]]}}}