Neurolymphomatosis in primary cutaneous CD4+ pleomorphic small/medium-sized T-cell lymphoma mimicking Hansen's disease Article Swipe
Anza Khader
,
Mary Vineetha
,
Mamatha George
,
ShinyPadinjarayil Manakkad
,
Sunitha Balakrishnan
,
Uma Rajan
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.4103/ijd.ijd_553_16
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.4103/ijd.ijd_553_16
Neurolymphomatosis (NL) refers to nerve infiltration by neurotropic neoplastic cells in the setting of a known or an unknown hematological malignancy. It typically presents as painful or painless peripheral mononeuropathy, mononeuritis multiplex, polyneuropathy, polyradiculopathy, or cranial neuropathy. A 32-year-old male presented with a hyperpigmented hypoesthetic plaque over the anterolateral aspect of the right leg with thickening of the right common peroneal nerve and foot drop clinically diagnosed as Hansen's disease. Biopsy taken from skin showed infiltrates of pleomorphic small and medium sized lymphocytes in the dermis and subcutis. On immunohistochemistry, the cells were positive for CD3, CD4 and negative for CD8, CD20, and CD30. Ultrasonography-guided fine-needle aspiration of the thickened nerve showed infiltrates of atypical lymphoid cells. Based on these findings, a diagnosis of NL in primary cutaneous CD4+ pleomorphic small/medium-sized T-cell lymphoma was made. The disease responded to systemic chemotherapy and localized radiotherapy with no evidence of relapse during 3 years follow-up. NL in primary cutaneous CD4+ pleomorphic small/medium-sized T-cell lymphoma presenting with manifestations redolent of Hansen's disease is not described in available literature. This case also demonstrates the utility of fine needle aspiration of nerve, a minimally invasive procedure in the diagnosis of NL.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4103/ijd.ijd_553_16
- OA Status
- diamond
- Cited By
- 7
- References
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W2612945508Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.4103/ijd.ijd_553_16Digital Object Identifier
- Title
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Neurolymphomatosis in primary cutaneous CD4+ pleomorphic small/medium-sized T-cell lymphoma mimicking Hansen's diseaseWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2017Year of publication
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2017-01-01Full publication date if available
- Authors
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Anza Khader, Mary Vineetha, Mamatha George, ShinyPadinjarayil Manakkad, Sunitha Balakrishnan, Uma RajanList of authors in order
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https://doi.org/10.4103/ijd.ijd_553_16Publisher landing page
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://doi.org/10.4103/ijd.ijd_553_16Direct OA link when available
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Medicine, Pathology, Mononeuritis Multiplex, Lymphoma, Biopsy, Malignancy, Dermis, Disease, VasculitisTop concepts (fields/topics) attached by OpenAlex
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7Total citation count in OpenAlex
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2023: 2, 2021: 1, 2019: 3, 2018: 1Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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