Acute adult T-cell leukemia/lymphoma (ATL) presenting with cutaneous purpuric lesions: A rare presentation

Figures & data

Table I. Reports of adult cell leuykemia/lymphoma with specific purpuric lesions.

Authors	Age	Sex	ATL Forms
Okada et al. 2007 [4]	62	F	Acute
Tabata et al. 2007 [6]	76	M	Smoldering
Shimauchi et al. 2005 [5]	78	F	Acute
Shimauchi et al. 2004*	78	M	Unknown
Adachi et al. 2003*	62	M	Acute
	74	M	Smoldering
Masada et al. 1999*	53	F	Smoldering
Katahira et al. 1992*	34	M	Acute
Fukatani et al. 1989*	55	M	Smoldering
Present case	87	M	Acute

*References from Okada et al., 2007.

Figure 1. Purpuric plaques and papules in trunk and arms.

Figure 2. Skin biopsy showing: A. Pautrier microabscesses (arrows) with pleomorphic and medium lymphocytes also present in the superficial and medium dermis. HE, × 100; B. The dermal neoplastic infiltration with extravasated erythrocytes (arrows). HE, × 320.

Okada J, Imafyku S, Tsujita J, Morol Y, Urabe K, Furue M. Case of adult T-cell leukemia/lymphoma manifesting marked purpura. J Dermatol 2007;34:782–5.

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Tabata R, Tabata C, Namiuchi S, Terada M, Yasumizu R, Okamoto T, . Adult T-cell lymphoma mimicking Henoch-Schönlein purpura. Mod Rheumatol 2007;17:57–62.

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Shimauchi T, Hirokawa Y, Tokura Y. Purpuric adult T-cell leukaemia/lymphoma: Expansion of unusual CD4/CD8 double-negative malignant T cells expressing CCR4 but bearing the cytotoxic molecule granzyme B. Br J Dermatol 2005;152: 350–2.

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