A Case of Peripheral T-cell Lymphoma, Not Otherwise Specified, Presenting Refractory Leg Ulcers in Elderly Patient

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  • 難治性下腿潰瘍を呈した高齢発症 Peripheral T-cell Lymphoma, Not Otherwise Specified の 1 例
  • 症例 難治性下腿潰瘍を呈した高齢発症Peripheral T-cell Lymphoma, Not Otherwise specifiedの1例
  • ショウレイ ナンチセイ カタイ カイヨウ オ テイシタ コウレイ ハッショウ Peripheral T-cell Lymphoma, Not Otherwise specified ノ 1レイ

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Abstract

We report a case of an 87-year-old female who presented with a swelling of her right leg associated with erythema, ulcers and secondary infection. She had been treated as a case of cellulitis by intravenous administration of antibiotics at a regional orthopedic clinic. However, the lesion was refractory and never showed an improvement, so she visited our hospital. At first inspection, irregularly shaped and moth-eaten ulcers covered with yellow necrotic tissue were present on her right leg associated with erythematous swelling and bad smell. Because the ulcers were refractory to various treatments, biopsy tissues were removed; the biopsy revealed findings compatible with those of malignant lymphoma. Further investigations,including immunohistochemical studies and radiological examinations, indicated peripheral T-cell lymphoma, not otherwise specified (PTCL-NOS) as the final diagnosis. Since primary cutaneous PTCL-NOS is considered rare, we suggest that refractory leg ulcers should be carefully examined so that prompt and adequate treatment will be administered, especially for patients presenting similar complications caused by various disorders.

Journal

  • Nishi Nihon Hifuka

    Nishi Nihon Hifuka 76 (2), 105-108, 2014

    Western Division of Japanese Dermatological Association

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