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Peripheral T-cell lymphoma with erysipelaslike spread
Fiona P Blanco1, Marlyanne M Pol-Rodriguez, Sameera Husain
1Department of Dermatology, Columbia University Medical Center, New York, New York, USA.
Cutis
|March 1, 2008
Summary
A rare case of peripheral T-cell lymphoma (PTCL) presented with an unusual erysipelas-like skin spread in an elderly patient. This finding highlights the diverse cutaneous manifestations of PTCL.
Area of Science:
- Oncology
- Dermatology
- Pathology
Background:
- An 88-year-old male with a history of gastric adenocarcinoma presented with constitutional symptoms including fatigue, anorexia, and weight loss.
- The patient also reported one month of abdominal pain, prompting further medical evaluation.
Observation:
- A dermatology consultation was requested for an asymptomatic, shiny, firm, red nodule on the lower left chest.
- The nodule exhibited an expanding rim of erythema, resembling erysipelas.
Findings:
- Skin biopsies were performed on both the nodule and the surrounding erythematous rim.
- Histopathological examination confirmed the diagnosis of peripheral T-cell lymphoma (PTCL).
Implications:
- This case represents a unique presentation of PTCL with an erysipelas-like cutaneous spread.
- The findings underscore the importance of considering rare hematologic malignancies in the differential diagnosis of unusual skin lesions.
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