Cutaneous Granuloma in Systemic Lymphoma: A Case Report in Thailand
Kobkul Aunhachoke MD*, Chasuree Sitakalin MD*, Phaibul Punyarit MD**
Affiliation : * Division of Dermatology, Department of Medicine, Phramongkutklao Hospital ** Department of Pathology, Phramongkutklao College of Medicine, Bangkok, Thailand A 68-year-old woman presented with multiple erythematous infiltrative nodules and plaques on her face, trunk and extremities, 7 months after having complete remission from chemotherapy treatment of non-Hodgkinûs lymphoma. Biopsy from the skin lesion showed tuberculoid granuloma without lymphoma. Special stains and culture were negative for micro-organism. Immunohistochemistry revealed polymorphic T and B cells infiltration without evidence of malignancy. The skin lesions subsided completely after corticosteroid treatment. Two months later, she developed brain involvement of lymphoma that responded well to radiation and chemotherapy.
Keywords : Lymphoma, Skin, Tuberculoid granuloma
