Digital gangrene as an unusual paraneoplastic manifestation of hodgkins lymphoma—a rare case report
Autor: | Bhaskar Kakarla, Raju Ysn, P Venkateswar Rao, Swaroopa Deme, M Nageswara Rao |
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Rok vydání: | 2021 |
Předmět: |
Gangrene
medicine.medical_specialty Hodgkin’s lymphoma medicine.diagnostic_test Paraneoplastic manifestation business.industry Dermatomyositis medicine.disease Paraneoplastic cerebellar degeneration RC31-1245 Polymyositis Dermatology Lymphoma immune system diseases hemic and lymphatic diseases Internal medicine Case report Biopsy medicine Eosinophilia medicine.symptom business Digital ischemia Generalized lymphadenopathy |
Zdroj: | The Egyptian Journal of Internal Medicine, Vol 33, Iss 1, Pp 1-4 (2021) |
ISSN: | 2090-9098 1110-7782 |
Popis: | Background Hodgkin’s lymphoma presenting with digital ischemia and gangrene is a rare manifestation. Paraneoplastic manifestations are rare in Hodgkin’s lymphoma but can occur in the form of paraneoplastic cerebellar degeneration (PCD) and dermatomyositis/polymyositis. This case report adds an exceptional presentation of Hodgkin's lymphoma as digital ischemia and gangrene. Case presentation We report a case of a 60-year-old male patient who presented with fever, cough, shortness of breath, the pain in the right middle finger. On examination bluish-black discoloration of the right middle finger, left middle finger, ring finger, and generalized lymphadenopathy was noted. On further evaluation, he was found to have anemia, eosinophilia, and severe thrombocytopenia with a normal coagulation profile and negative rheumatological workup. Arterial Doppler of both upper limbs showed the normal study. He was diagnosed to have Hodgkin’s lymphoma on the lymph node and bone marrow biopsy. He was started on chemotherapy with partial improvement in symptoms and was lost to follow-up after 2 cycles. Conclusions Digital ischemia can be a rare paraneoplastic manifestation of Hodgkin’s lymphoma. |
Databáze: | OpenAIRE |
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