Peripheral T-cell lymphoma with unusual clinical presentation of rhabdomyolysis.

Journal Article

Primary extranodal lymphoma is known to occur in nose, gastrointestinal tract, skin, bone, and central nervous system. However, it is extremely rare for primary lymphoma to arise in skeletal muscle. We report a case of a 32-year-old man who presented initially with fever and fatigue. He had a history of alcohol abuse. Laboratory studies and computerized tomography scan showed results consistent with rhabdomyolysis, but the cause of the rhabdomyolysis was undetermined. After biopsy of abdominal skeletal muscle with histologic examination and T-cell receptor gamma chain gene rearrangement analysis, the diagnosis of peripheral T-cell lymphoma was established. After two cycles of the cyclophosphamide, doxorubicin, vincristine, prednisone, and etoposide regimen, the patient's symptoms greatly improved. This is the third reported case of peripheral T-cell lymphoma arising in skeletal muscle reported in the literature and which presented clinically with rhabdomyolysis. The alcohol abuse during the clinical course likely worsens the pathologic process of the rhabdomyolysis. Copyright © 2015 John Wiley & Sons, Ltd.

Full Text

Duke Authors

Cited Authors

  • Liu, Z; Medeiros, LJ; Young, KH

Published Date

  • March 2017

Published In

Volume / Issue

  • 35 / 1

Start / End Page

  • 125 - 129

PubMed ID

  • 25921311

Electronic International Standard Serial Number (EISSN)

  • 1099-1069

Digital Object Identifier (DOI)

  • 10.1002/hon.2203

Language

  • eng

Conference Location

  • England