B CELL LYMPHOMA MIMICKING RHEUMATOID ARTHRITIS, A CASE REPORT

  • Micaela Ana Cosatti CEMIC
  • C N Pisoni CEMIC
  • J L Altuve CEMIC
  • C Llorent CEMIC

Resumen

Non Hodking´s lymphoma (NHL) may involve bones but synovial involvement is uncommon. We describe a patient who presented with polyarthritis, sicca symptoms and rash suggestive of rheumatoid arthritis. An atypical skin rash prompted skin and synovial biopsies. A diagnosis of synovial and skin malignant large B-cell lymphoma anaplastic subtype was performed. Chemotherapy with dexamethasone, vincristine and rituximab was started. Following treatment the patient had complete resolution of cutaneous and articular lymphoma manifestations.

Biografía del autor/a

Micaela Ana Cosatti, CEMIC
Section of Rheumatology and Immunology 
C N Pisoni, CEMIC
Hematology Department 
J L Altuve, CEMIC
Hematology Department 
C Llorent, CEMIC
Pathology Department

Citas

- Howard D. Dorfman, Howard L. Siegel, Michael C. Perry, Ronald Oxenhandler. Non-hodgkin’s lymphoma of the synovium simulating rheumatoid arthritis. Arthritis Rheum 1987; Vol: 30 No. 2: 155-160.

- Merih Birlik, Servet Akar, Fatos Onen, Mehmet Ali Ozcan, Abdulkadir Bacakoglu, Sermin Ozkal, et al. Articular, B-cell, non-Hodgkin’s lymphoma mimicking rheumatoid arthritis: synovial involvement in a small hand joint. Rheumatol Int 2004; 24: 169–172.

- V. M. Martin, R. M. Bennett, G. R. V. Hughes, P. J. L. Holt. Lymphosarcomatous arthropathy .Ann Rheum Dis. 1973; 32: 162-166.

- N Menon, R Madhok. Symmetrical polyarthritis is not always rheumatoid. Ann Rheum Dis. 1994; 53: 631-632.

- J. E. Mcdonagh, F. Clarke, S. R. Smith, P. Kesteven, J. Walker. Non-hodgkin's lymphoma presenting as polyarthritis. Rheumatology (Oxford) 1994;33:79-84.

- Roldan MR, Martinez F, Roman J, Torres A. Non-Hodgkin's lymphoma: initial manifestation. Ann Rheum Dis. 1993;52:85-6.

- Bert Lincoln Pear. Skeletal Manifestations of the Lymphomas and Leukemias. Semin Roentgenol 1974; Vol. IX. No: 3: 229-240.

- Ethan M. Braunsteln, Susan J. White. Non-Hodgkin Lymphoma of Bone. Radiology 1980,135:59-63.

- Jetze Visser, Vincent JJF Busch, Ineke M de Kievit-van der Heijden, Arno M ten Ham. Non-Hodgkin’s Lymphoma of the synovium discovered in total knee arthroplasty: a case report. BMC Research Notes 2012; 5:449.

- Adunsky A, Yaretzky A, Klajman A: Malignant lymphoma presenting as sternoclavicular joint arthritis (letter). Arthritis Rheum 1980; 23:1330-1331.

Publicado
2016-02-27
Cómo citar
Cosatti, M. A., Pisoni, C. N., Altuve, J. L., & Llorent, C. (2016). B CELL LYMPHOMA MIMICKING RHEUMATOID ARTHRITIS, A CASE REPORT. Revista De La Facultad De Ciencias Médicas De Córdoba, 73(1). https://doi.org/10.31053/1853.0605.v73.n1.12539
Sección
Revisiones de literatura