Abstract
Pulmonary involvement is more common in Hodgkin's disease and is always accompanied by mediastinal and hilar lymphadenopathy. We describe a rare case of rapid relapsing diffuse pulmonary lesion in Hodgkin's disease. Case: In 1977, a 72-year-old man progressively lost weight (5 kg) and became aware of fever and left axillary lymph adenopathy. Axillary lymph node disclosed Hodgkin's disease of the mixed cellular type. He received COPP (Cyclophosphamide, Vincristine, Procarbazine and Prednisolone) treatment, which introduced complete remission of Hodgkin's disease. After the one year and two months, he became aware of high fever and dyspnoe. Radiograph of the chest disclosed diffuse shadow throughout both lungs. The patient died in late 1978 from Hodgkin's lung. Histopathology revealed diffuse infiltration of lymphoid cells and Hodgkin's cells in pulmonary intraparenchymal tissue of both whole lung tissue.
