1.Primary cutaneous anaplastic large-cell lymphoma with metastases in an 81-year-old Filipino female
Terese Monette O. Aquino ; Ma. Jasmin J. Jamora ; Karla Angela P. Cuenca-Luchangco ; Julia Erika P. Pangasinan
Journal of the Philippine Dermatological Society 2018;27(1):64-67
Introduction:
Primary Cutaneous Anaplastic Large Cell Lymphoma (PC-ALCL) is a rare Non-Hodgkin lymphoma (NHL)
representing approximately 9% of all cutaneous lymphomas.3
It usually manifests as a slow-growing, solitary tumor
which has a tendency to regress spontaneously. However, metastasis is reported in 5-10% of cases.2
Case Summary:
Our case is an 81-year-old female with a four-month history of an enlarging nodule on the left upper
back. The initial impression was a malignant cutaneous tumor. Histopathology revealed epidermotropic large atypical
lymphocytes and diffuse infiltrates of hyperchromatic, pleomorphic mononuclear cells and lymphocytes.
Immunohistochemistry showed CD3+, CD20-, CD30+, epithelial membrane antigen (EMA)- and anaplastic lymphoma
kinase (ALK)- consistent with PC-ALCL. Metastatic work-up revealed pulmonary involvement. The patient underwent
two cycles of multi-agent chemotherapy with marked improvement. However, patient declined further treatment and
expired five months after the diagnosis.
Conclusion
This case emphasizes that although PC-ALCL commonly presents with an indolent course, extracutaneous
spread can occur. Prompt treatment with chemotherapy increases survival significantly with a cure rate of 92%.2
Lymphoma, T-Cell
;
Neoplasms
2.lgA pemphigus, intraepidermal neutrophillic type in an 8-year old Filipino female: A case report.
Tanya S. Ramas-Uypitching ; Maria Jasmin J. Jamora ; Vanessa Anne C. Bernal ; Julia Erika P. Pangasinan
Journal of the Philippine Medical Association 2021;99(2):51-54
INTRODUCTION:
lgA pemphigus is a rare, chronic,
relapsing, benign group of autoimmune
intraepidermal blistering dermatosis with an
unknown etiology. It is characterized by
significantly pruritic, vesiculopustular lesions that
occur mainly on the trunk and proximal extremities.
Histopathologic and immunofluorescence studies
show intraepidermal blisters and deposition of
immunoglobulin A in the intercellular spaces of the
epidermis, respectively.
CASE REPORT
To our knowledge, we present the first
reported pediatric case of lgA pemphigus,
intraepidermal neutrophilic type, in an 8-year old
Filipino female with a 2-year history of generalized
papules and flaccid pustules, some forming an
annular pattern. Diagnosis was confirmed by
histopathology and direct immunofluorescence.
Enzyme-linked immunosorbent assay for
Desmoglein 1 was negative. Complete clearance of
lesions was achieved with dapsone, colchicine and
prednisone.