Inflammatory pseudotumour of lymph nodes is a benign type of lymphaden
opathy recently described as a peculiar nodal reaction, which displays
distinctive clinical and histological features. The origin of the dis
ease is unknown although an inflammatory etiology has been suggested.
We study a new case of inflammatory pseudotumour of lymph nodes which
had an unusual clinical presentation, with lymphadenopathy on both sid
es of the diaphragm and enlargement of liver and spleen. In addition,
focal fibrinoid vascular necrosis was observed on histological examina
tion, an unusual finding which makes difficult the differential diagno
sis with other lesions, particularly vasculitis.