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Unusual presentation of more common disease/injury
Case report
Intramuscular lymphoma: uncommon presentation of Hodgkin’s disease
  1. Vijay Alexander1,
  2. Rachana Shenoy1,
  3. Anu Korula2 and
  4. Maria Koshy1
  1. 1Internal Medicine, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India
  2. 2Hematology, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India
  1. Correspondence to Dr Vijay Alexander; vijayalexander{at}cmcvellore.ac.in

Abstract

Extranodal presentation in lymphoproliferative disorders is a well-recognised entity. However, musculoskeletal involvement is extremely rare. We describe the case of a 64-year-old farmer who presented to us with constitutional symptoms of fever, loss of weight and loss of appetite for 2 years and physical examination revealing generalised lymphadenopathy with hepatosplenomegaly. Biopsy of an axillary lymph node showed mixed cellularity variant of Hodgkin’s lymphoma. CT of the thorax and abdomen revealed a collection in the right psoas muscle. Guided biopsy of the psoas deposit was suggestive of Hodgkin’s lymphoma. PCR and cultures for Mycobacterium tuberculosis tested negative. Here we describe a rare presentation of Hodgkin’s lymphoma with intramuscular involvement.

  • haematology (incl blood transfusion)
  • malignant and benign haematology
  • pathology

https://doi.org/10.1136/bcr-2019-229826

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    Footnotes

    • Contributors Conception or design of the work, or the acquisition, analysis or interpretation of data: VA and RS. Drafting the work or revising it critically for important intellectual content: VA, AK and MK. Final approval of the version published: MK and AK.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.