Skin invasion of Hodgkin's disease mimicking scrofuloderma.
We report a case of direct skin invasion by Hodgkin's disease from a left supraclavicular lymph node. Clinical and pathological presentations mimicked infectious disease such as scrofuloderma. The nodule later developed a fistula following a biopsy that never healed despite numerous antibiotic treatments. Ten months later, other nodules with spontaneous fistula formation appeared on the anterior neck. A diagnosis of Hodgkin's disease was then made. Subsequent COPP cytostatic therapy remarkably improved the skin lesions and lymph nodes achieving complete remission.
Takagawa
S
S
Department of Dermatology, School of Medicine,Tokyo Medical and Dental University, Tokyo, Japan. takagawa.derm@med.tmd.ac.jp
Maruyama
R
R
Yokozeki
H
H
Nishioka
K
K
Kobayashi
Y
Y
Numano
F
F
D000368:Aged; D003937:Diagnosis, Differential; D006689:Hodgkin Disease / Q000473:pathology*; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D012878:Skin Neoplasms / Q000556:secondary*; D014382:Tuberculosis, Cutaneous / Q000473:pathology*