Walking a Tight Rope: Occult Lymphoma in a Case of Resistant Dermatomyositis Complicated by Tubercular Lymphadenitis and Gumma

IF 1 4区 医学 Q4 DERMATOLOGY Indian Journal of Dermatology Pub Date : 2024-08-19 DOI:10.4103/ijd.ijd_214_23
Namrata Chhabra, Jemshi S. Rahim, Satyaki Ganguly
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Abstract

Dermatomyositis (DM) is an autoimmune inflammatory disease, characterized by symmetrical proximal myopathy and cutaneous manifestations. DM is associated with upto a 6-fold increased risk of cancer. Complications secondary to underlying cancer are a leading cause of mortality in DM. Here, we discuss the two year clinical course of an elderly male with recalcitrant DM. This case was complicated by tubercular lymphadenitis followed by gumma. Subsequently, he was diagnosed with lymphoma and succumbed to death. This case emphasizes the need to do extensive malignancy screening at regular intervals in DM.

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走钢丝:一例耐药性皮肌炎并发结核性淋巴结炎和牙龈肿的隐匿性淋巴瘤病例
皮肌炎(DM)是一种自身免疫性炎症疾病,以对称性近端肌病和皮肤表现为特征。皮肌炎患者罹患癌症的风险最高可增加 6 倍。继发于潜在癌症的并发症是导致 DM 患者死亡的主要原因。在此,我们讨论一名患有顽固性 DM 的老年男性患者两年的临床病程。该病例因结核性淋巴结炎并发牙龈肿痛。随后,他被诊断为淋巴瘤,最后不治身亡。这个病例强调了定期对 DM 患者进行广泛恶性肿瘤筛查的必要性。
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来源期刊
Indian Journal of Dermatology
Indian Journal of Dermatology Medicine-Dermatology
CiteScore
1.80
自引率
0.00%
发文量
217
审稿时长
47 weeks
期刊介绍: The journal publishes information related to skin-pathology and different modes of therapeutics, including dermatosurgery and cosmetic dermatology. Likewise, it carries articles on leprosy, STI and HIV/AIDS. The editorial board encourages the authors to publish articles addressing emerging techniques and developments in the subject specialty, in the form of Original investigations, Narrative and Systematic Reviews as well as Case Reports. The journal aims at publishing Editorials and Commentaries from eminent personalities on a regular basis.
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