Hodgkin Lymphoma Mimicking Osteomyelitis
Hodgkin lymphoma with symptomatic osseous involvement can have a similar presentation to osteomyelitis. Common findings in symptoms, laboratory workup, and imaging can make it very difficult to distinguish between the two diseases. Excisional biopsy should be pursued if fine-needle biopsy is equivoc...
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ndltd-arizona.edu-oai-arizona.openrepository.com-10150-6258402017-10-11T03:00:28Z Hodgkin Lymphoma Mimicking Osteomyelitis Majeed, Aneela Chan, Onyee Okolo, Onyemaechi Shponka, Volodymyr Georgescu, Anca Persky, Daniel Univ Arizona, Banner Univ, Med Ctr, Dept Infect Dis Univ Arizona, Banner Univ, Med Ctr, Dept Med Univ Arizona, Banner Univ, Med Ctr, Dept Pathol Univ Arizona, Banner Univ, Med Ctr, Dept Hematol Oncol Hodgkin lymphoma Lymphoma Osteomyelitis Osseous Hodgkin lymphoma Hodgkin lymphoma with symptomatic osseous involvement can have a similar presentation to osteomyelitis. Common findings in symptoms, laboratory workup, and imaging can make it very difficult to distinguish between the two diseases. Excisional biopsy should be pursued if fine-needle biopsy is equivocal and suspicion of lymphoma is high. We report a case of a 40-year-old man who presented with a history of marine animal sting on his neck and later developed erythema in the area, chest pain, constitutional symptoms, adenopathy, and imaging classic for sternal osteomyelitis. Fortunately, initial biopsy prompted the possibility of lymphoma, and further workup was initiated, which confirmed Hodgkin lymphoma. This case is a good reminder that malignancies and infections can share many common features, and keeping a broad differential diagnosis can be lifesaving. Proper staging and risk stratification of Hodgkin lymphoma help determine the optimal treatment. (C) 2017 The Author(s) Published by S. Karger AG, Basel 2017-06-20 Article Hodgkin Lymphoma Mimicking Osteomyelitis 2017, 10 (2):542 Case Reports in Oncology 1662-6575 28690530 10.1159/000474938 http://hdl.handle.net/10150/625840 http://arizona.openrepository.com/arizona/handle/10150/625840 Case Reports in Oncology en https://www.karger.com/?doi=10.1159/000474938 © 2017 The Author(s). This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC). KARGER |
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en |
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topic |
Hodgkin lymphoma Lymphoma Osteomyelitis Osseous Hodgkin lymphoma |
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Hodgkin lymphoma Lymphoma Osteomyelitis Osseous Hodgkin lymphoma Majeed, Aneela Chan, Onyee Okolo, Onyemaechi Shponka, Volodymyr Georgescu, Anca Persky, Daniel Hodgkin Lymphoma Mimicking Osteomyelitis |
description |
Hodgkin lymphoma with symptomatic osseous involvement can have a similar presentation to osteomyelitis. Common findings in symptoms, laboratory workup, and imaging can make it very difficult to distinguish between the two diseases. Excisional biopsy should be pursued if fine-needle biopsy is equivocal and suspicion of lymphoma is high. We report a case of a 40-year-old man who presented with a history of marine animal sting on his neck and later developed erythema in the area, chest pain, constitutional symptoms, adenopathy, and imaging classic for sternal osteomyelitis. Fortunately, initial biopsy prompted the possibility of lymphoma, and further workup was initiated, which confirmed Hodgkin lymphoma. This case is a good reminder that malignancies and infections can share many common features, and keeping a broad differential diagnosis can be lifesaving. Proper staging and risk stratification of Hodgkin lymphoma help determine the optimal treatment. (C) 2017 The Author(s) Published by S. Karger AG, Basel |
author2 |
Univ Arizona, Banner Univ, Med Ctr, Dept Infect Dis |
author_facet |
Univ Arizona, Banner Univ, Med Ctr, Dept Infect Dis Majeed, Aneela Chan, Onyee Okolo, Onyemaechi Shponka, Volodymyr Georgescu, Anca Persky, Daniel |
author |
Majeed, Aneela Chan, Onyee Okolo, Onyemaechi Shponka, Volodymyr Georgescu, Anca Persky, Daniel |
author_sort |
Majeed, Aneela |
title |
Hodgkin Lymphoma Mimicking Osteomyelitis |
title_short |
Hodgkin Lymphoma Mimicking Osteomyelitis |
title_full |
Hodgkin Lymphoma Mimicking Osteomyelitis |
title_fullStr |
Hodgkin Lymphoma Mimicking Osteomyelitis |
title_full_unstemmed |
Hodgkin Lymphoma Mimicking Osteomyelitis |
title_sort |
hodgkin lymphoma mimicking osteomyelitis |
publisher |
KARGER |
publishDate |
2017 |
url |
http://hdl.handle.net/10150/625840 http://arizona.openrepository.com/arizona/handle/10150/625840 |
work_keys_str_mv |
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