The definitive histology diagnosed a large B cell lymphoma, present in 20 out of 24 removed lymph nodes, with an ovarian secondary involvement.
Finally, Nezhat et al. have postulated that large endometriomas may develop as a result of secondary involvement of functional ovarian cysts by endometrial implants located on the ovarian surface [ 12].
On the other hand, Nezhat et al. [ 14] proposed that endometriomas may develop as a result of secondary involvement of functional ovarian cysts, while Vercellini et al. [ 15] hypothesized the development specifically from hemorrhagic corpora lutea, firstly suggesting a possible relation between ovulation and endometriomas.
All intensive care patients had disorders in pulmonary gas exchange either due to primary infectious involvement or due to a secondary pulmonary involvement as a consequence of severe sepsis or septic shock.
Optic nerve sheath enlargement can also occur because of secondary involvement as a result of a variety of orbital and systematic abnormalities, such as tumour, inflammation, Grave's disease, sarcoidosis, pseudotumour, metastasis, haemorrhage in and around the optic nerve complex, and hydrops from extrinsic tumour [ 38].
The pathophysiology of the two conditions is different since VKH is primarily a diffuse stromal choroiditis with secondary involvement of the choriocapillaris, whereas as CSC occurs a result of choroidal vascular hyperpermeability.
On the other hand, systemic lupus erythematosus (SLE) is a typical systemic disease with secondary involvement of multiple organs.
Therefore, we can not assume that the skin lesion in our patient represents a lesion of BA with secondary involvement by Mycobacterium avium or whether the two organisms are implicated in the development of such lesions.
McGonagle and colleagues, based on the finding of prominent bone marrow oedema at sites of ligamentous attachment on MRI scanning, proposed that PsA should be considered an entheseal-based disease with secondary involvement of synovial structures [ 13].
With improving systemic disease control, an important mode of treatment failure is secondary involvement of the central nervous system (CNS), a complication that is typically rapidly fatal.
