Specific infiltrate of Hodgkin lymphoma at site of cellulitis mimicking secondary cutaneous involvement

J Cutan Pathol. 2020 May;47(5):462-465. doi: 10.1111/cup.13618. Epub 2019 Dec 10.

Abstract

Hodgkin lymphoma (HL) usually involves the lymph nodes, but concomitant cutaneous manifestations can also occur. The diagnosis of cutaneous involvement by HL must be supported by specific clinical and histopathological findings. We describe the case of a 56-year-old man recently diagnosed with HL of the left axillary nodes who developed cellulitis of the left trunk. Histopathological examination of a skin biopsy specimen revealed the presence of large atypical lymphoid cells with the same immunophenotype of those located in the lymph node affected by HL. Our case adds to the many cutaneous infiltrations by neoplastic cells during the course of an inflammatory skin disease, namely cellulitis.

Keywords: Hodgkin lymphoma; cellulitis; reed-Sternberg cells; skin infiltrate.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Biopsy
  • Cellulitis / metabolism
  • Cellulitis / pathology*
  • Disease Progression
  • Hodgkin Disease / drug therapy
  • Hodgkin Disease / metabolism
  • Hodgkin Disease / pathology*
  • Humans
  • Immunohistochemistry / methods
  • Immunophenotyping / methods
  • Lymph Nodes / metabolism
  • Lymph Nodes / pathology*
  • Male
  • Middle Aged
  • Reed-Sternberg Cells / metabolism
  • Reed-Sternberg Cells / pathology*
  • Skin Neoplasms / pathology