[Digital arteritis preceding the diagnosis of a malignant B cell lymphoma].
We report the case of a young smoker woman who developed a severe acrosyndrome of rapid onset, involving both hands except the thumbs. The angiography showed digital arteritis. Antinuclear antibodies were present at high level. Three months later, a large B cell lymphoma was diagnosed. Complete remission was achieved, but the acrosyndrome persisted with only partial improvement. The antinuclear antibodies disappeared. The paraneoplastic nature of the acrosyndrome is discussed.
Kuhnert
C
C
Service de médecine interne A, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg cedex, France.
Groza
M
M
Fohrer
C
C
Weber
J-C
JC
D000328:Adult; D000792:Angiography; D001167:Arteritis / Q000209:etiology*; D005260:Female; D005385:Fingers / Q000098:blood supply*; D006801:Humans; D016393:Lymphoma, B-Cell / Q000175:diagnosis*; D010257:Paraneoplastic Syndromes / Q000209:etiology*; D012907:Smoking