Autor: |
Filipović, Nika, Likić, Robert, Bulat, Vedrana, Gašparov, Slavko, Delaš Aždajić, Marija |
Jazyk: |
angličtina |
Rok vydání: |
2022 |
Předmět: |
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Popis: |
Sézary syndrome is a systemic variant of cutaneous T-cell lymphoma characterized by erythroderma, lymphadenopathy and circulating atypical lymphocytes (Sézary cells). It may present with nonspecific lesions on multiple digits. We describe an atyp- ical case of brentuximab-induced splinter nail haemorrhages in a patient with Sézary syndrome, associated with a poor prognosis during follow-up. Concomitantly with the appearance of nail lesions, significant lymphocytosis was detected as well as infil- tration of bone marrow and nail matrices. The lesions followed a precise sequence, which can be traced back to the monthly application of brentuximab and its direct cytotoxic effect on CD30+ T lymphocytes in the nail matrix. Brentuximab- induced nail lesions might be associated with decreased efficacy of brentuximab in this patient with advanced cutaneous T-cell lymphoma. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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