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CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2019; 40(04): 598-600
DOI: 10.4103/ijmpo.ijmpo_133_18
Letter to Editor

Cutaneous Infarcts and Antineutrophil Cytoplasmic Antibody‑Positive Vasculitis in Angioimmunoblastic T‑Cell Lymphoma: A Rare Presentation

Ashwin Mahesh
Department of General Medicine, Army College of Medical Sciences, Delhi Cantt., New Delhi
,
Sandeep Kumar
Department of General Medicine, Army College of Medical Sciences, Delhi Cantt., New Delhi
,
Abhish Mohan
Department of General Medicine, Armed Forces Medical College, Pune, Maharashtra
,
Niket Verma
Department of General Medicine, Army College of Medical Sciences, Delhi Cantt., New Delhi
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Sir,

Angioimmunoblastic T-cell lymphoma (AITL) is a rare and unique subtype of peripheral T-cell lymphoma, accounting for 2%–5% of all non-Hodgkin’s lymphomas.[1] The lymph node architecture is often effaced, with retention of only a few benign follicles. The infiltrate characteristically extends beyond the lymph node capsule, with preserved and dilated subcapsular sinus. Often, there is interfollicular proliferation of endothelial venules. The neoplastic T-cells are positive for CD2, CD3, CD4, CD10, CXCL-13, PD1, and often BCL-6.[2]

AITL is associated with many systemic features such as fever, rash, or arthritis. These systemic features may precede the appearance of other features of lymphoma. The disease may present as autoimmune phenomena, such as the presence of circulating immune complexes, cold agglutinins, hemolytic anemia, and rheumatoid factor and anti-smooth muscle antibodies. Hypergammaglobulinemia is present in approximately 50% of patients, typically polyclonal.[3] Vasculitis is occasionally associated with AITL, but it is usually antineutrophil cytoplasmic antibody (ANCA)-negative vasculitis.[4]



Publication History

Received: 14 June 2018

Accepted: 12 July 2019

Article published online:
03 June 2021

© 2020. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Rüdiger T, Weisenburger DD, Anderson JR, Armitage JO, Diebold J, MacLennan KA. et al. Peripheral T-cell lymphoma (excluding anaplastic large-cell lymphoma): Results from the non-Hodgkin’s lymphoma classification project. Ann Oncol 2002; 13: 140-9
    CrossrefPubMedGoogle Scholar
  • 2 Attygalle AD, Diss TC, Munson P, Isaacson PG, Du MQ, Dogan A. CD10 expression in extranodal dissemination of angioimmunoblastic T-cell lymphoma. Am J Surg Pathol 2004; 28: 54-61
    CrossrefPubMedGoogle Scholar
  • 3 Frizzera G, Moran EM, Rappaport H. Angio-immunoblastic lymphadenopathy with dysproteinaemia. Lancet 1974; 1: 1070-3
    CrossrefPubMedGoogle Scholar
  • 4 Hamidou MA, El Kouri D, Audrain M, Grolleau JY. Systemic antineutrophil cytoplasmic antibody vasculitis associated with lymphoid neoplasia. Ann Rheum Dis 2001; 60: 293-5
    CrossrefPubMedGoogle Scholar
  • 5 Iannitto E, Ferreri AJ, Minardi V, Tripodo C, Kreipe HH. Angioimmunoblastic T-cell lymphoma. Crit Rev Oncol Hematol 2008; 68: 264-71
    CrossrefPubMedGoogle Scholar