Pyoderma Gangrenosum as a Harbinger of Adult T-Cell Leukemia-Lymphoma.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-03-10 eCollection Date: 2023-01-01 DOI:10.55729/2000-9666.1167
Syed H B Waqar, Biplov Adhikari, Navid Salahi, Sara Ahmed, Isabel McFarlane
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Abstract

Adult T-cell leukemia-lymphoma (ATLL) is a malignancy of mature T lymphocytes caused by chronic human T-lymphotropic virus, type I (HTLV-I) infection. Up to one third of cases of ATLL can present with skin involvement-oftentimes there may only be skin involvement. Rare cutaneous presentations can further obscure the diagnosis, create diagnostic dilemma, and delay the institution of appropriate therapy. We present a case of ATLL where the initial lesion at presentation was pyoderma gangrenosum (PG). To our knowledge, there are no reported cases of ATLL presenting as PG.

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神经节皮病是成人T细胞白血病淋巴瘤的先兆。
成人T细胞白血病淋巴瘤(ATLL)是一种由慢性人类T淋巴细胞性病毒I型(HTLV-I)感染引起的成熟T淋巴细胞恶性肿瘤。多达三分之一的ATLL病例可能存在皮肤受累,通常可能只有皮肤受累。罕见的皮肤表现会进一步模糊诊断,造成诊断困境,并推迟适当治疗的实施。我们报告了一例ATLL,其初始病变为坏疽性脓皮病(PG)。据我们所知,目前尚无ATLL表现为PG的病例报告。
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审稿时长
17 weeks
期刊介绍: JCHIMP provides: up-to-date information in the field of Internal Medicine to community hospital medical professionals a platform for clinical faculty, residents, and medical students to publish research relevant to community hospital programs. Manuscripts that explore aspects of medicine at community hospitals welcome, including but not limited to: the best practices of community academic programs community hospital-based research opinion and insight from community hospital leadership and faculty the scholarly work of residents and medical students affiliated with community hospitals.
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