Unusual Manifestation of Chronic Lymphocytic Leukemia in the Hand
| Autor: | Ievgen Glavynskyi, Steffen Frenzel, Diogo Cruz, Jochen Winter, Kristian Weissenberg, Thomas Wild, Axel Florschütz |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty Topical Corticosteroid Therapy medicine.drug_class business.industry Chronic lymphocytic leukemia Antibiotics Bone metastasis 030230 surgery medicine.disease Dermatology 03 medical and health sciences Leukemia 0302 clinical medicine hemic and lymphatic diseases medicine Etiology Orthopedics and Sports Medicine Surgery business Subclinical infection Tissue biopsy |
| Zdroj: | The Journal of Hand Surgery. 46:74.e1-74.e8 |
| ISSN: | 0363-5023 |
| Popis: | Chronic lymphocytic leukemia (CLL) involving the hand, especially with bone involvement, is extremely rare. We report a case of a 62-year-old man, with a 4-year history of a subclinical CLL, presenting with chronic swelling and pain over the dorsal surface of the right hand, mimicking an infectious process. There was no clinical response to broad-spectrum antibiotics and topical corticosteroid therapy. Imaging was inconclusive. A tissue biopsy revealed a manifestation of the underlying leukemia. This case highlights the need to consider uncommon etiologies for atypical clinical presentations. |
| Databáze: | OpenAIRE |
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