A case of Sezary syndrome is presented. Coincident with topical treatment by nitrogen mustard, an enormous rise in circulating Sezary cells was seen in the peripheral blood. The possibility of this rise as a result of the topical treatment is discussed as a possible danger in topical therapy for ind
Visceral lesions in an unusual case of sézary's syndrome
✍ Scribed by F. J. Paradinas; Kathleen M. Harrison
- Publisher
- John Wiley and Sons
- Year
- 1974
- Tongue
- English
- Weight
- 717 KB
- Volume
- 33
- Category
- Article
- ISSN
- 0008-543X
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✦ Synopsis
A 29-year-old woman with long-standing thrombocytopenia due to megakaryocytic hypoplasia developed features of SCzary's syndrome associated with arthropathy and signs of peripheral vascular occlusion. She died 14 months later. At necropsy, cellular infiltrations including lymphocytes, histiocytes, plasma cells, and atypical mononuclear cells were found in the walls of small arteries and parenchyma of visceral organs as well as in the skin. The infiltrations had led to fibrosis and focal parenchymal damage which resembled that seen in experimental and iatrogenic graft-vs.-host reactions. In places there was a transition between these mixed cellular infiltrations and uniformly lymphocytic infiltrations with histologic features of a lymphoma.
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