Adult T-cell lymphoma mimicking Henoch-Schönlein purpura.
We report a male patient with adult T-cell lymphoma, who was initially diagnosed clinically as having Henoch-Schönlein purpura (HSP) with abdominal pain and specific purpura. Adult T-cell lymphoma-like cells were minimal and abdominal lymph nodes were transiently swollen, and the symptoms were improved by supportive management. Although the clinical course was compatible with HSP, the histological examination revealed infiltration of lymphocytes rather than neutrophils. Later he developed lymphoma and was treated with chemotherapy. This rare case suggests the importance of skin biopsies to seek the underlying pathology in adult HSP.
Tabata
Rie
R
Department of Internal Medicine, Hyogo Prefectural Tsukaguchi Hospital, 6-8-17 Minamitsukaguchi, Amagasaki, Hyogo 661-0012, Japan. ctabata@kuhp.kyoto-u.ac.jp
Tabata
Chiharu
C
Namiuchi
Shunzo
S
Terada
Makoto
M
Yasumizu
Ryoji
R
Okamoto
Tomoko
T
Nagai
Tomoko
T
D000368:Aged; D003937:Diagnosis, Differential; D006651:Histocytochemistry; D015368:Human T-lymphotropic virus 1 / Q000302:isolation & purification*; D006801:Humans; D011695:IgA Vasculitis / Q000175:diagnosis*; D008198:Lymph Nodes / Q000000981:diagnostic imaging / Q000473:pathology*; D016399:Lymphoma, T-Cell / Q000175:diagnosis*; D008297:Male; D011859:Radiography; D011877:Radionuclide Imaging