Initial presentation of an unspecified peripheral T-cell lymphoma as inflammatory polyarthritis and hypereosinophilia


PAMUK G. E., PAMUK Ö. N., Harmandar F., UYANIK M. Ş., ÖZ PUYAN F., Yesil N., ...Daha Fazla

European Journal of Oncology, cilt.21, sa.3, ss.174-179, 2016 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 3
  • Basım Tarihi: 2016
  • Dergi Adı: European Journal of Oncology
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.174-179
  • Anahtar Kelimeler: Arthritis, Hypereosinophilia, Lymphoma, Peripheral T-cell lymphoma-unspecified (PTCL-U), Rheumatoid arthritis (RA)
  • Trakya Üniversitesi Adresli: Evet

Özet

Summary. Premise: There may be signs of joint and bone involvement in hematologic malignancies, but it is most rare for hematologic malignancies like lymphomas to present with joint symptoms. Patient: A 49-year-old male patient was admitted with rheumatoid arthritis-like symmetrical polyarthritis, morning stiffness, cutaneous vasculitis and hypereosinophilia. Autoantibodies, like rheumatoid factor, anti-citrullinated cyclic peptide, antinuclear antibody, anti-nuclear cytoplasmic antibody, were negative. After 4 months of follow-up, the patient developed a diffuse cutaneous rash and multiple lymphadenopathies. Lymph node biopsy was compatible with peripheral T-cell lymphoma, unspecified. Result: The patient was administered, respectively, CHOP and ICE chemotherapy regimens to which he was refractory. He died from infection and respiratory failure. Conclusion: It should be borne in mind that T-cell lymphomas may have unusual presentations with arthritis and hypereosinophilia.