Unusual Manifestation of Chronic Lymphocytic Leukemia in the Hand.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 32359865.
- Also identified by DOI 10.1016/j.jhsa.2020.03.014.
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Abstract
Chronic lymphocytic leukemia (CLL) involving the hand, especially with bone involvement, is extremely rare. We report a case of a 62-year-old man, with a 4-year history of a subclinical CLL, presenting with chronic swelling and pain over the dorsal surface of the right hand, mimicking an infectious process. There was no clinical response to broad-spectrum antibiotics and topical corticosteroid therapy. Imaging was inconclusive. A tissue biopsy revealed a manifestation of the underlying leukemia. This case highlights the need to consider uncommon etiologies for atypical clinical presentations.
Medical subject headings
- Leukemia, Lymphocytic, Chronic, B-Cell
Anatomy
- hand