Amonchaisakda Nuntouchaporn, Aiempanakit Kumpol, Apinantriyo Benjawan
Division of Dermatology, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
Hematology Unit, Medical Specialty Center, Bangkok Hospital Hat Yai, Bangkok Dusit Medical Services, Hat Yai, Songkhla, Thailand.
IDCases. 2020 May 14;21:e00818. doi: 10.1016/j.idcr.2020.e00818. eCollection 2020.
Burkitt lymphoma is an aggressive type of nodal non-Hodgkin lymphoma. This disease commonly involves the gastrointestinal tract, bone marrow, central nervous system, and in rare instances, the skin. We report the case of a 78-year-old Asian man who had experienced subacute fever and significant weight loss. He initially presented with a zosteriform skin rash on his right temporal area, which primary physicians diagnosed as varicella zoster infection and treated with antiviral drugs. The rash developed on the left forehead and chest. Dermatopathological studies on a skin lesion on the chest wall showed characteristics of Burkitt lymphoma. After a week of palliative chemotherapy, regression of all skin lesions was observed. This report aims to demonstrate an unusual zosteriform pattern of cutaneous involvement in Burkitt lymphoma.
伯基特淋巴瘤是一种侵袭性的淋巴结非霍奇金淋巴瘤。这种疾病通常累及胃肠道、骨髓、中枢神经系统，罕见情况下也会累及皮肤。我们报告了一例78岁的亚洲男性病例，该患者经历了亚急性发热和显著体重减轻。他最初在右侧颞部出现带状疱疹样皮疹，初级医生诊断为水痘带状疱疹感染并给予抗病毒药物治疗。皮疹随后出现在左前额和胸部。对胸壁皮肤病变进行的皮肤病理学研究显示出伯基特淋巴瘤的特征。经过一周的姑息化疗后，观察到所有皮肤病变均消退。本报告旨在展示伯基特淋巴瘤一种不寻常的带状疱疹样皮肤受累模式。
