Hemophagocytic Lymphohistiocytosis in Association with Primary Cutaneous Anaplastic Large Cell Lymphoma

Hemophagocytic lymphohistiocytosis (HLH) has a well known association with lymphomas, especially of T cell origin. Prognosis of lymphoma associated HLH is very poor, especially in T cell lymphomas; and, therefore, early diagnosis might alter the outcome. Though association of HLH with systemic anapl...

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Main Authors: Aneesh Basheer, Somanath Padhi, Ramesh Nagarajan, Vinoth Boopathy, Sudhagar Mookkappan, Nayyar Iqbal
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2014/384123
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author Aneesh Basheer
Somanath Padhi
Ramesh Nagarajan
Vinoth Boopathy
Sudhagar Mookkappan
Nayyar Iqbal
author_facet Aneesh Basheer
Somanath Padhi
Ramesh Nagarajan
Vinoth Boopathy
Sudhagar Mookkappan
Nayyar Iqbal
author_sort Aneesh Basheer
collection DOAJ
description Hemophagocytic lymphohistiocytosis (HLH) has a well known association with lymphomas, especially of T cell origin. Prognosis of lymphoma associated HLH is very poor, especially in T cell lymphomas; and, therefore, early diagnosis might alter the outcome. Though association of HLH with systemic anaplastic large cell lymphoma (ALCL) is known, its occurrence in primary cutaneous ALCL (C-ALCL) is distinctly rare. We aim to describe a case of C-ALCL (anaplastic lymphoma kinase (ALK)−) in an elderly male who succumbed to the complication of associated HLH, which was possibly triggered by coexistent virus infection. We briefly present the literatures on lymphoma associated HLH and discuss the histopathological differentials of cutaneous CD30+ lymphoproliferative disorders. We do suggest that HLH may pose diagnostic challenges in the evaluation of an underlying lymphoma and hence warrants proper evaluation for the underlying etiologies and/or triggering factors.
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institution Kabale University
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series Case Reports in Hematology
spelling doaj-art-6c0e4b980efe401ea22b08e0f51ff24d2025-02-03T01:12:17ZengWileyCase Reports in Hematology2090-65602090-65792014-01-01201410.1155/2014/384123384123Hemophagocytic Lymphohistiocytosis in Association with Primary Cutaneous Anaplastic Large Cell LymphomaAneesh Basheer0Somanath Padhi1Ramesh Nagarajan2Vinoth Boopathy3Sudhagar Mookkappan4Nayyar Iqbal5Pondicherry Institute of Medical Sciences, Ganapathichettikulam, Pondicherry 605014, IndiaPondicherry Institute of Medical Sciences, Ganapathichettikulam, Pondicherry 605014, IndiaPondicherry Institute of Medical Sciences, Ganapathichettikulam, Pondicherry 605014, IndiaPondicherry Institute of Medical Sciences, Ganapathichettikulam, Pondicherry 605014, IndiaPondicherry Institute of Medical Sciences, Ganapathichettikulam, Pondicherry 605014, IndiaPondicherry Institute of Medical Sciences, Ganapathichettikulam, Pondicherry 605014, IndiaHemophagocytic lymphohistiocytosis (HLH) has a well known association with lymphomas, especially of T cell origin. Prognosis of lymphoma associated HLH is very poor, especially in T cell lymphomas; and, therefore, early diagnosis might alter the outcome. Though association of HLH with systemic anaplastic large cell lymphoma (ALCL) is known, its occurrence in primary cutaneous ALCL (C-ALCL) is distinctly rare. We aim to describe a case of C-ALCL (anaplastic lymphoma kinase (ALK)−) in an elderly male who succumbed to the complication of associated HLH, which was possibly triggered by coexistent virus infection. We briefly present the literatures on lymphoma associated HLH and discuss the histopathological differentials of cutaneous CD30+ lymphoproliferative disorders. We do suggest that HLH may pose diagnostic challenges in the evaluation of an underlying lymphoma and hence warrants proper evaluation for the underlying etiologies and/or triggering factors.http://dx.doi.org/10.1155/2014/384123
spellingShingle Aneesh Basheer
Somanath Padhi
Ramesh Nagarajan
Vinoth Boopathy
Sudhagar Mookkappan
Nayyar Iqbal
Hemophagocytic Lymphohistiocytosis in Association with Primary Cutaneous Anaplastic Large Cell Lymphoma
Case Reports in Hematology
title Hemophagocytic Lymphohistiocytosis in Association with Primary Cutaneous Anaplastic Large Cell Lymphoma
title_full Hemophagocytic Lymphohistiocytosis in Association with Primary Cutaneous Anaplastic Large Cell Lymphoma
title_fullStr Hemophagocytic Lymphohistiocytosis in Association with Primary Cutaneous Anaplastic Large Cell Lymphoma
title_full_unstemmed Hemophagocytic Lymphohistiocytosis in Association with Primary Cutaneous Anaplastic Large Cell Lymphoma
title_short Hemophagocytic Lymphohistiocytosis in Association with Primary Cutaneous Anaplastic Large Cell Lymphoma
title_sort hemophagocytic lymphohistiocytosis in association with primary cutaneous anaplastic large cell lymphoma
url http://dx.doi.org/10.1155/2014/384123
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