Format

Send to

Choose Destination
BMJ Case Rep. 2018 Feb 2;2018. pii: bcr-2017-220858. doi: 10.1136/bcr-2017-220858.

Peripheral T-cell lymphoma mimicking classic Hodgkin's lymphoma in a patient presenting with fevers of unknown origin.

Author information

1
Department of Medicine, University of Florida, Gainesville, Florida, USA.
2
Division of Hematology/Oncology, Department of Medicine, University of Florida, Gainesville, Florida, USA.
3
Department of Pathology, University of Florida, Gainesville, Florida, USA.
4
Division of Infectious Disease and Global Medicine, Department of Medicine, University of Florida, Gainesville, Florida, USA.

Abstract

A 52-year-old man presented to our hospital for further workup of fever of unknown origin after an extensive workup at an outside hospital had failed to reveal a diagnosis. At the outside hospital, he underwent excisional biopsy of the left supraclavicular lymph node, which showed non-necrotising granulomatous changes, and a bone marrow biopsy which showed a normocellular marrow. He was discharged without a diagnosis with recommendations to present to a tertiary hospital. During his admission, his hospital course was complicated by new direct hyperbilirubinaemia and eosinophilia, prompting liver and skin biopsies which showed CD30+ and CD3+ cells. He subsequently underwent left axillary lymph node biopsy, which was reported as 'classic Hodgkin's lymphoma'. With worsening lab values and T cells noted on liver and skin biopsies, excisional lymph node biopsy was sent to the National Institute of Health, where it was confirmed patient had peripheral T cell lymphoma.

KEYWORDS:

cancer intervention; haematology (incl blood transfusion); oncology

PMID:
29420242
DOI:
10.1136/bcr-2017-220858
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for HighWire
Loading ...
Support Center