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Relapsed lymphoma mimicking venous ulcer: A case report
W S A Kamal1, A M Affandi2, A Bhullar3
1Universiti Teknologi MARA, Faculty of Medicine, Department of Dermatology, Selangor, Malaysia. syameen.afira@gmail.com.
Abstract:
Lymphoma presenting with ulceration is not typical. We report a case of relapsed DLBCL in a 73-year-old man presenting with a chronic non-healing leg ulcer. He has underlying varicose veins with recurrent venous ulcers. This patient was diagnosed to have DLBCL six years earlier when he presented with recurrent epistaxis originating from a left nasal cavity nodule. Complete resolution was achieved after eight cycles of R-CHOP and intrathecal methotrexate. For this current problem, this patient was treated with rituximab combined with chemotherapy which resulted in healing of the ulcer.
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