A Report and Literature Review of Two Misdiagnosed Cases of Subcutaneous Panniculitis-like T-cell Lymphoma
LIN Ting
LIANG Jie
YANG Hui-lan
Abstract：Objective To study the clinical features and main points of the diagnosis of subcutaneous panniculitis-like T-cell lymphoma (SPTCL) to avoid misdiagnosis, and related literature was also reviewed. Methods Clinical data of two mis-diagnosed cases of SPTCL was retrospectively analyzed, and related literature was also reviewed. Results Two patients visited doctors for skin erythema, nodi pain as the primal symptoms, following fever with aggravating conditions and edema in both lower extremities. The patients had been misdiagnosed as having multiple furuncle, panniculitis and vasculitis, but the patients'condi-tions were not improved after corresponding treatments. The SPTCL was confirmed by histopathologic and immunohistochemistry examinations, and the misdiagnosis durations were 3 months and 8 months respectively. The patients died of the grave conditions one week and one month after the final diagnosis. Conclusion Clinicians should pay more attention to inexplicable single or multiple red-purple plaques or nodi patients with fever, emaciation, night sweat and enlargement of the spleen and liver, and SPTCL should be highly suspected. Histopathology and immunohistochemistry examinations should be performed to reduce misdi-agnosis rate and mistreatment rate.
Keywords：LymphomaT cellMisdiagnosisFurunclePanniculitisVasculitis
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 69-71 )