Adult T-cell leukemia-lymphoma (ATLL) is a malignancy of mature T lymphocytes caused by chronic human T-lymphotropic virus, type I (HTLV-I) infection. Up to one third of cases of ATLL can present with skin involvement—oftentimes there may only be skin involvement. Rare cutaneous presentations can further obscure the diagnosis, create diagnostic dilemma, and delay the institution of appropriate therapy. We present a case of ATLL where the initial lesion at presentation was pyoderma gangrenosum (PG). To our knowledge, there are no reported cases of ATLL presenting as PG.
Waqar, Syed Hamza Bin; Adhikari, Biplov; Salahi, Navid; Ahmed, Sara; and McFarlane, Isabel
"PYODERMA GANGRENOSUM AS A HARBINGER OF ADULT T-CELL LEUKEMIA-LYMPHOMA,"
Journal of Community Hospital Internal Medicine Perspectives: Vol. 13:
2, Article 11.
Available at: https://scholarlycommons.gbmc.org/jchimp/vol13/iss2/11