Ediboğlu Elif Durak, Solmaz Dilek, Özkal Sermin, Erdoğan Nezahat Karaca, Akar Servet
Hatay Research and Training Hospital, Hatay, Turkey.
Department of Internal Medicine, Division of Rheumatology, Izmir Katip Celebi University, Izmir, Turkey.
Z Rheumatol. 2023 Oct;82(8):692-695. doi: 10.1007/s00393-023-01370-1. Epub 2023 May 26.
Upper respiratory tract involvement is common in patients with granulomatosis with polyangiitis (GPA), but malignancies should be kept in mind in the differential diagnosis. A 68-year-old man was referred to rheumatology to investigate for GPA after nasal excisional biopsy. After careful radiologic and pathologic assessment, he was diagnosed with peripheral T‑cell lymphoma, nasal type. This is a rare case of T‑cell lymphoma in a patient who was referred as GPA.
上呼吸道受累在显微镜下多血管炎(GPA)患者中很常见,但在鉴别诊断时应考虑到恶性肿瘤。一名68岁男性在鼻腔切除活检后被转诊至风湿病科以排查GPA。经过仔细的影像学和病理学评估,他被诊断为鼻型外周T细胞淋巴瘤。这是一例罕见的在被诊断为GPA的患者中发生的T细胞淋巴瘤病例。