A Case of Peripheral T Cell Lymphoma Presenting as Severe Hypoxic Respiratory Failure: A Case Report.
10.4266/kjccm.2010.25.1.43
- Author:
Joon Seok CHOI
1
;
Hong Joon SHIN
;
Eun Young KIM
;
In Jae OH
;
Kyu Sik KIM
;
Yu Il KIM
;
Sung Chul LIM
;
Young Chul KIM
;
Yoo Duk CHOI
;
Hyun Ju SEON
;
Yong Soo KWON
Author Information
1. Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. yongsu3@gmail.com
- Publication Type:Case Report
- Keywords:
corticosteroid;
lymphoma;
respiratory failure
- MeSH:
Biopsy;
Dyspnea;
Humans;
Korea;
Lung;
Lymphocytes;
Lymphoma;
Lymphoma, T-Cell, Peripheral;
Respiration, Artificial;
Respiratory Insufficiency;
Thorax
- From:The Korean Journal of Critical Care Medicine
2010;25(1):43-47
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We describe here the first known case in Korea of pulmonary involvement with peripheral T cell lymphoma and the patient presented with severe hypoxic respiratory failure. A 57-yr-old man was admitted to our hospital with rapid progression of dyspnea and bilateral diffuse infiltration on a chest radiograph. He received mechanical ventilation and low dose corticosteroid treatment under the suspicion of critical illness-related corticosteroid insufficiency. Transbronchial lung biopsy revealed large atypical lymphoid cells with positivity for CD3+. We diagnosed this patient as having a peripheral T cell lymphoma and we treated him with high dose corticosteroid. His clinical and radiologic findings rapidly improved and then he received a full dose of chemotherapy for the peripheral T cell lymphoma.
