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Coinciding with the appearance of the plaques, the patient reported the growth of a lesion in the left thigh starting a year and a half earlier, which he attributed to a trauma and reported that his primary care center was treating the lesion with oral and topical antibiotics (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). On examination, axillary, cervical and inguinal adenopathies were palpated, reason why an ultrasonography of these lesions was performed. What was observed was consistent with a lymphoproliferative process. A skin biopsy confirmed the diagnosis of CD4 T-cell lymphoma. Laboratory tests only showed an increase in beta-2 microglobulin of 2.980<span class="elsevierStyleHsp" style=""></span>mg/l, without any other abnormalities. The patient was referred to the Haematology Service, where he underwent a bone marrow biopsy that reported diffuse infiltration by CD4T lymphoma. Chemotherapy was established and is still being administered.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The diagnosis of some types of cutaneous lymphoma is delayed due to the clinical similarity with other lesions, such as abscesses. However, in the presence of an indurated lesion which persists over time, this entity must be suspected and rapidly referred for a skin biopsy.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Dorado Fernández M, Ruiz Martínez J, Pastor Quirante F, Hernández-Gil Sánchez J. Placas eritematosas infiltradas como presentación de un linfoma de rápida evolución. Med Clin (Barc). 2017;149:e13.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 600 "Ancho" => 800 "Tamanyo" => 92319 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 600 "Ancho" => 800 "Tamanyo" => 109875 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014900000003/v1_201708260033/S2387020617304448/v1_201708260033/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014900000003/v1_201708260033/S2387020617304448/v1_201708260033/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020617304448?idApp=UINPBA00004N" ]
Journal Information
Vol. 149. Issue 3.
Pages e13 (August 2017)
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Vol. 149. Issue 3.
Pages e13 (August 2017)
Image in medicine
Erythematous infiltrated plaques as an onset manifestation of rapidly evolving lymphoma
Placas eritematosas infiltradas como presentación de un linfoma de rápida evolución
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