Coexistence of Subcutaneous Panniculitis-Like T-Cell Lymphoma and Dermatomyositis in a 12-Year-Old Boy
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Subcutaneous panniculitis-like T-cell lymphoma (SPTL) is an extremely rare, indolent skin malignancy that can be difficult to distinguish from autoimmune disease-associated panniculitides. Here, we describe a 12-year-old boy who was diagnosed at age 7 years with dermatomyositis with classical manifestations, including poikiloderma, Gottron’s sign, and symmetric muscle weakness. Recently, the boy presented multiple subcutaneous nodules and fever. Histopathological examination and immunohistochemical staining revealed co- existence of SPTL. To our knowledge, this is the first case of dermatomyositis accompanied with SPTL. This case alert clinical physicians of the possibility of SPTL should be considered when a patient with dermatomyositis has new lesions presenting as nodules and unknown fever.
Abstract
Subcutaneous panniculitis-like T-cell lymphoma (SPTL) is an extremely rare, indolent skin malignancy that can be difficult to distinguish from autoimmune disease-associated panniculitides. Here, we describe a 12-year-old boy who was diagnosed at age 7 years with dermatomyositis with classical manifestations, including poikiloderma, Gottron’s sign, and symmetric muscle weakness. Recently, the boy presented multiple subcutaneous nodules and fever. Histopathological examination and immunohistochemical staining revealed co- existence of SPTL. To our knowledge, this is the first case of dermatomyositis accompanied with SPTL. This case alert clinical physicians of the possibility of SPTL should be considered when a patient with dermatomyositis has new lesions presenting as nodules and unknown fever.
참고문헌 (10)
- Perniciaro C, "Subcutaneous Tcell lymphoma. Report of two additional cases and further observations", Arch Dermatol, 129, pp.1171~1176 (1993)
- Weenig RH, "Subcutaneous panniculitis-like T-cell lymphoma : an elusive case presenting as lipomembranous panniculitis and a review of 72 cases in the literature", Am J Dermatopathol, 23, pp.206~215 (2001)
- Glusac EJ, "Evaluation of classic architectural criteria in non-mycosis fungoides cutaneous lymphomas", Am J Dermatopathol, 19, pp.557~561 (1997)
- Willemze R, "Subcutaneous panniculitis-like T-cell lymphoma : definition, classification, and prognostic factors : an EORTC Cutaneous Lymphoma Group Study of 83 cases", Blood, 111, pp.838~845 (2008)
- Szekanecz Z, "Malignancies in autoimmune rheumatic diseases-a mini-review", Gerontology, 57, pp.3~10 (2011)
- Langan SM, "Dermatomyositis associated with angiotropic lymphoma", Clin Exp Dermatol, 28, pp.597~599 (2003)
- Pincus LB, "Subcutaneous panniculitis-like T-cell lymphoma with overlapping clinicopathologic features of lupus erythematosus : coexistence of 2 entities?", Am J Dermatopathol, 31, pp.520~526 (2009)
- Chiu HY, "Subcutaneous panniculitis-like T-cell lymphoma presenting with clinicopathologic features of dermatomyositis", J Am Acad Dermatol, 64, pp.e121~e123 (2011)
- Kaieda S, "A subcutaneous panniculitis-like T-cell lymphoma mimicking dermatomyositis", Intern Med, 53, pp.1455~ (2014)
- Yi L, "The presenting manifestations of subcutaneous panniculitis-like T-cell lymphoma and T-cell lymphoma and cutaneous γδ T-cell lymphoma may mimic those of rheumatic diseases : a report of 11 cases", Clin Rheumatol, 32, pp.1169~1175 (2013)