Primary Hodgkin’s lymphoma with chest wall ulceration and hypereosinophilia: a rare presentation and diagnostic dilemma

Hodgkin’s lymphoma (HL) with cutaneous manifestation is a rare condition which usually occurred late in the course of the disease. Due to its rare presentation, misdiagnoses are common. We report a 26-year-old Chinese gentleman who presented with painless and large anterior chest wall ulceration. Co...

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Main Authors: Wan Ali, Wan Ahmad Syahril Rozli, Tumian, Nur Rafeah
Format: Article
Language:English
Published: 2018
Subjects:
Online Access:http://irep.iium.edu.my/64422/
http://irep.iium.edu.my/64422/
http://irep.iium.edu.my/64422/1/64422_Primary%20Hodgkin%E2%80%99s%20Lymphoma%20With%20Chest.pdf
id iium-64422
recordtype eprints
spelling iium-644222019-01-03T02:52:32Z http://irep.iium.edu.my/64422/ Primary Hodgkin’s lymphoma with chest wall ulceration and hypereosinophilia: a rare presentation and diagnostic dilemma Wan Ali, Wan Ahmad Syahril Rozli Tumian, Nur Rafeah R Medicine (General) Hodgkin’s lymphoma (HL) with cutaneous manifestation is a rare condition which usually occurred late in the course of the disease. Due to its rare presentation, misdiagnoses are common. We report a 26-year-old Chinese gentleman who presented with painless and large anterior chest wall ulceration. Computed tomography scan showed sternal mass and erosion, with skin and anterior mediastinal extension. The second histopathologic examination (with immunohistochemistry) of the skin biopsy showed HL with mixed cellularity pattern. However, there was a marked dominance of eosinophils in both the peripheral blood and the tissue samples. This was a very unusual presentation of extranodal HL with ulceration and pronounced hypereosinophilia. The diagnosis was only made after the second biopsy because of the rare occurrence. 2018-04-07 Article PeerReviewed application/pdf en http://irep.iium.edu.my/64422/1/64422_Primary%20Hodgkin%E2%80%99s%20Lymphoma%20With%20Chest.pdf Wan Ali, Wan Ahmad Syahril Rozli and Tumian, Nur Rafeah (2018) Primary Hodgkin’s lymphoma with chest wall ulceration and hypereosinophilia: a rare presentation and diagnostic dilemma. Indian Journal of Case Reports, 14 (2 (Mar-Apr)). pp. 121-123. ISSN 2454-129X E-ISSN 2454-1203 https://atharvapub.net/index.php/IJCR/article/view/816
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Wan Ali, Wan Ahmad Syahril Rozli
Tumian, Nur Rafeah
Primary Hodgkin’s lymphoma with chest wall ulceration and hypereosinophilia: a rare presentation and diagnostic dilemma
description Hodgkin’s lymphoma (HL) with cutaneous manifestation is a rare condition which usually occurred late in the course of the disease. Due to its rare presentation, misdiagnoses are common. We report a 26-year-old Chinese gentleman who presented with painless and large anterior chest wall ulceration. Computed tomography scan showed sternal mass and erosion, with skin and anterior mediastinal extension. The second histopathologic examination (with immunohistochemistry) of the skin biopsy showed HL with mixed cellularity pattern. However, there was a marked dominance of eosinophils in both the peripheral blood and the tissue samples. This was a very unusual presentation of extranodal HL with ulceration and pronounced hypereosinophilia. The diagnosis was only made after the second biopsy because of the rare occurrence.
format Article
author Wan Ali, Wan Ahmad Syahril Rozli
Tumian, Nur Rafeah
author_facet Wan Ali, Wan Ahmad Syahril Rozli
Tumian, Nur Rafeah
author_sort Wan Ali, Wan Ahmad Syahril Rozli
title Primary Hodgkin’s lymphoma with chest wall ulceration and hypereosinophilia: a rare presentation and diagnostic dilemma
title_short Primary Hodgkin’s lymphoma with chest wall ulceration and hypereosinophilia: a rare presentation and diagnostic dilemma
title_full Primary Hodgkin’s lymphoma with chest wall ulceration and hypereosinophilia: a rare presentation and diagnostic dilemma
title_fullStr Primary Hodgkin’s lymphoma with chest wall ulceration and hypereosinophilia: a rare presentation and diagnostic dilemma
title_full_unstemmed Primary Hodgkin’s lymphoma with chest wall ulceration and hypereosinophilia: a rare presentation and diagnostic dilemma
title_sort primary hodgkin’s lymphoma with chest wall ulceration and hypereosinophilia: a rare presentation and diagnostic dilemma
publishDate 2018
url http://irep.iium.edu.my/64422/
http://irep.iium.edu.my/64422/
http://irep.iium.edu.my/64422/1/64422_Primary%20Hodgkin%E2%80%99s%20Lymphoma%20With%20Chest.pdf
first_indexed 2023-09-18T21:31:27Z
last_indexed 2023-09-18T21:31:27Z
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