Diffuse skin hyperpigmentation in CD30+ lymphoproliferation

CD30+ T-cell lymphoproliferative disorders (LD) comprise two main groups of diseases: CD30+ LD of the skin and systemic anaplastic large cell lymphoma (ALCL). The main feature of these disorders is the expression of CD30. We present a patient with an unusual clinical presentation of CD30+ lymphoprol...

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Main Authors: Zeljko Prka, Cedna Tomasovic-Loncaric, Vlatko Pejsa, Branimir Nevajda, Rajko Kusec
Format: Article
Language:English
Published: King Faisal Specialist Hospital and Research Centre 2012-05-01
Series:Annals of Saudi Medicine
Online Access:https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2012.318
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author Zeljko Prka
Cedna Tomasovic-Loncaric
Vlatko Pejsa
Branimir Nevajda
Rajko Kusec
author_facet Zeljko Prka
Cedna Tomasovic-Loncaric
Vlatko Pejsa
Branimir Nevajda
Rajko Kusec
author_sort Zeljko Prka
collection DOAJ
description CD30+ T-cell lymphoproliferative disorders (LD) comprise two main groups of diseases: CD30+ LD of the skin and systemic anaplastic large cell lymphoma (ALCL). The main feature of these disorders is the expression of CD30. We present a patient with an unusual clinical presentation of CD30+ lymphoproliferative disease in a 54-year old Caucasian male who presented with generalized lymphadenopathy and pronounced skin hyperpigmentation. In the lymph nodes and skin, CD30+ lymphoproliferation (ALCL) was diagnosed. The Prussian blue staining identified that the pigment responsible for the skin color was hemosiderin. Chemotherapy was started but the patient's condition progressively worsened and he died a week after the first cycle. The complete color transformation of the entire skin due to hemosiderin accumulation is, to the best of our knowledge, the first reported observation in a CD30+ lymphoproliferation/ALCL patient. We speculate that hemosiderin-loaded macrophages resulted from the paraneoplastic process by some still unknown mechanism.
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spelling doaj.art-0cb20d598d524d3bb563b9278512b72e2022-12-22T00:09:45ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49470975-44662012-05-0132331832010.5144/0256-4947.2012.318asm-3-318Diffuse skin hyperpigmentation in CD30+ lymphoproliferationZeljko Prka0Cedna Tomasovic-Loncaric1Vlatko Pejsa2Branimir Nevajda3Rajko Kusec4From the Department of Internal Medicine, University Hospital Dubrava, Division of Hematology, Zagreb, CroatiaFrom the Department of Pathology, University Hospital Dubrava, Zagreb, CroatiaFrom the Department of Internal Medicine, University Hospital Dubrava, Division of Hematology, Zagreb, CroatiaFrom the Department of Internal Medicine, University Hospital Dubrava, Division of Hematology, Zagreb, CroatiaFrom the Department of Internal Medicine, University Hospital Dubrava, Division of Hematology, Zagreb, CroatiaCD30+ T-cell lymphoproliferative disorders (LD) comprise two main groups of diseases: CD30+ LD of the skin and systemic anaplastic large cell lymphoma (ALCL). The main feature of these disorders is the expression of CD30. We present a patient with an unusual clinical presentation of CD30+ lymphoproliferative disease in a 54-year old Caucasian male who presented with generalized lymphadenopathy and pronounced skin hyperpigmentation. In the lymph nodes and skin, CD30+ lymphoproliferation (ALCL) was diagnosed. The Prussian blue staining identified that the pigment responsible for the skin color was hemosiderin. Chemotherapy was started but the patient's condition progressively worsened and he died a week after the first cycle. The complete color transformation of the entire skin due to hemosiderin accumulation is, to the best of our knowledge, the first reported observation in a CD30+ lymphoproliferation/ALCL patient. We speculate that hemosiderin-loaded macrophages resulted from the paraneoplastic process by some still unknown mechanism.https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2012.318
spellingShingle Zeljko Prka
Cedna Tomasovic-Loncaric
Vlatko Pejsa
Branimir Nevajda
Rajko Kusec
Diffuse skin hyperpigmentation in CD30+ lymphoproliferation
Annals of Saudi Medicine
title Diffuse skin hyperpigmentation in CD30+ lymphoproliferation
title_full Diffuse skin hyperpigmentation in CD30+ lymphoproliferation
title_fullStr Diffuse skin hyperpigmentation in CD30+ lymphoproliferation
title_full_unstemmed Diffuse skin hyperpigmentation in CD30+ lymphoproliferation
title_short Diffuse skin hyperpigmentation in CD30+ lymphoproliferation
title_sort diffuse skin hyperpigmentation in cd30 lymphoproliferation
url https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2012.318
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AT vlatkopejsa diffuseskinhyperpigmentationincd30lymphoproliferation
AT branimirnevajda diffuseskinhyperpigmentationincd30lymphoproliferation
AT rajkokusec diffuseskinhyperpigmentationincd30lymphoproliferation