Bone lesion in Adult T Cell Lymphoma Leukemia

A 57-year-old man from Khorasan Razavi presented with severe hypercalsemia and fever, with tempreture up to 40°C, over a 2-week period. He also had severe headache and generalized bone pain. He was admitted and treated for hypercalcemia. After two days hypercalcemia and fever were controlled and bon...

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Main Author: Zahra Mozaheb
Format: Article
Language:English
Published: The Pan African Medical Journal 2013-11-01
Series:The Pan African Medical Journal
Subjects:
Online Access: https://www.panafrican-med-journal.com/content/article/16/76/pdf/76.pdf
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author Zahra Mozaheb
author_facet Zahra Mozaheb
author_sort Zahra Mozaheb
collection DOAJ
description A 57-year-old man from Khorasan Razavi presented with severe hypercalsemia and fever, with tempreture up to 40°C, over a 2-week period. He also had severe headache and generalized bone pain. He was admitted and treated for hypercalcemia. After two days hypercalcemia and fever were controlled and bone pain decreased mildly but his headache continued severely. At first day of admission he was not anemic but one week later he became anemic and thrombocytopenic with atytipical lymphocyte in peripheral blood smear. During patient assessment we found, hyperuricemia, elevated ESR,CRP and LDH. Skeletal radiographies showed severe lytic bone lesion, and brain CT scan was normal. Based on these data, bone marrow exam was done and serum anti HTLV1 was requested. After 3 days we noticed several depressions on the scalp and forehead of the patient because of severe bone resorption. Bone marrow exam showed a patchy lymphocyte infiltration, and serum anti HTLV1 antibody was positive. CD4 also was positive in flowcytomery. All this findings were compatible with Adult T cell Lymphoma Leukemia secondary to HTLV1 infection which is endemic in Khorasan Razavi, Iran. The patient was died before beginning of induction therapy.
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spelling doaj.art-12b3f4dedac64b2f8a5a5528c72b67332022-12-22T01:34:19ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882013-11-01167610.11604/pamj.2013.16.76.27062706Bone lesion in Adult T Cell Lymphoma LeukemiaZahra MozahebA 57-year-old man from Khorasan Razavi presented with severe hypercalsemia and fever, with tempreture up to 40°C, over a 2-week period. He also had severe headache and generalized bone pain. He was admitted and treated for hypercalcemia. After two days hypercalcemia and fever were controlled and bone pain decreased mildly but his headache continued severely. At first day of admission he was not anemic but one week later he became anemic and thrombocytopenic with atytipical lymphocyte in peripheral blood smear. During patient assessment we found, hyperuricemia, elevated ESR,CRP and LDH. Skeletal radiographies showed severe lytic bone lesion, and brain CT scan was normal. Based on these data, bone marrow exam was done and serum anti HTLV1 was requested. After 3 days we noticed several depressions on the scalp and forehead of the patient because of severe bone resorption. Bone marrow exam showed a patchy lymphocyte infiltration, and serum anti HTLV1 antibody was positive. CD4 also was positive in flowcytomery. All this findings were compatible with Adult T cell Lymphoma Leukemia secondary to HTLV1 infection which is endemic in Khorasan Razavi, Iran. The patient was died before beginning of induction therapy. https://www.panafrican-med-journal.com/content/article/16/76/pdf/76.pdf bone lesionadult t cell lymphoma leukemialytic bone lesionhtlv1iran
spellingShingle Zahra Mozaheb
Bone lesion in Adult T Cell Lymphoma Leukemia
The Pan African Medical Journal
bone lesion
adult t cell lymphoma leukemia
lytic bone lesion
htlv1
iran
title Bone lesion in Adult T Cell Lymphoma Leukemia
title_full Bone lesion in Adult T Cell Lymphoma Leukemia
title_fullStr Bone lesion in Adult T Cell Lymphoma Leukemia
title_full_unstemmed Bone lesion in Adult T Cell Lymphoma Leukemia
title_short Bone lesion in Adult T Cell Lymphoma Leukemia
title_sort bone lesion in adult t cell lymphoma leukemia
topic bone lesion
adult t cell lymphoma leukemia
lytic bone lesion
htlv1
iran
url https://www.panafrican-med-journal.com/content/article/16/76/pdf/76.pdf
work_keys_str_mv AT zahramozaheb bonelesioninadulttcelllymphomaleukemia