T-cell prolymphocytic leukemia with cutaneous presentation

a case report

Autores/as

DOI:

https://doi.org/10.51723/q3xqwk30

Palabras clave:

Prolymphocytic Leukemia, Case Reports, Skin Diseases

Resumen

Introduction: T-cell prolymphocytic leukemia (T-PLL) is a rare hematological neoplasm that is usually aggressive and is characterized by lymph node enlargement, splenomegaly, and leukocytosis. Case report: this report presented a rare case of T-PLL with a cutaneous presentation similar in appearance to an allergic reaction, which challenged early diagnosis. Following diagnosis, significant treatment challenges emerged, particularly within the Unified Health System, owing to the unavailability of optimal pharmacotherapies. This resulted in an unfavourable outcome for the condition. Conclusion: this case revealed the difficulties in managing a rare disease within the Brazilian health system and the importance of the differential diagnosis of skin lesions with hematological neoplasms to avoid delays in diagnosis.

Descargas

Los datos de descarga aún no están disponibles.

Biografía del autor/a

  • Paulo Henrique Silva Rodrigues, Universidade Estadual do Ceará

    Mestrando em gestão em saúde pela Universidade Estadual do Ceará, médico hematologista do Hospital Universitário do Ceará, CE, Brasil.

  • Henrique Girão Martins, Hospital Universitário Walter Cantídio

    Médico hematologista do Hospital Universitário Walter Cantídio, CE, Brasil.

  • Germison Silva Lopes, Hospital Universitário do Ceará

    Mestre em farmacologia pela Universidade Federal do Ceará, médico hematologista do Hospital Universitário do Ceará, CE, Brasil.

Referencias

WHO Classification of Tumours Editorial Board, editor. Haematolymphoid tumours. 5th ed. Lyon: International Agency for Research on Cancer; 2024. Available from: https://publications.iarc.fr/Book-And-Report-Series/Who-Classification-Of-Tumours/Haematolymphoid-Tumours-2024

Catovsky D, Galton DA, Griffin C, Greaves MF. Prolymphocytic leukaemia of B and T cell type. Lancet. 1973;302(7823):232-4. doi: 10.1016/s0140-6736(73)93135-8.

Vardell VA, Ermann DA, Fitzgerald L, Shah H, Hu B, Stephens DM. T-cell prolymphocytic leukemia: Epidemiology and survival trends in the era of novel treatments. Am J Hematol. 2024 Jan 19. doi: 10.1002/ajh.27205.

Gutierrez M, Bladek P, Goksu B, Murga-Zamalloa C, Bixby D, Wilcox R. T-Cell Prolymphocytic Leukemia: Diagnosis, Pathogenesis, and Treatment. Int J Mol Sci. 2023 Jul 28;24(15):12106. doi: 10.3390/ijms241512106.

Dearden C. How I treat prolymphocytic leukemia. Blood. 2012 Jul;120(3):538-51. doi: 10.1182/blood-2012-01-380139.

Mallett RB, Child FJ, Whittaker SJ, Scarisbrick JJ, Russell-Jones R. Cutaneous infiltration in T-cell prolymphocytic leukaemia. Br J Dermatol. 1995 Feb;132(2):263-6. doi: 10.1111/j.1365-2133.1995.tb05023.x.

Colon Ramos A, Tarekegn K, Aujla A, Garcia de Jesus K, Gupta S. T-Cell Prolymphocytic Leukemia: An Overview of Current and Future Approaches. Cureus. 2021 Feb 9;13(2):e13237. doi: 10.7759/cureus.13237.

Sanofi Medley Farmacêutica Ltda. Lemtrada (alentuzumabe) [Internet]. Suzano (SP): Sanofi Medley Farmacêutica Ltda; 08 jan 2024 [cited 26 abr 2025]. Available from: https://consultas.anvisa.gov.br/#/bulario/q/?nomeProduto=Lemtrada

Ministério da Saúde (BR). Protocolo Clínico e Diretrizes Terapêuticas - L [Internet]. Brasília: Ministério da Saúde (BR); s.d. [cited 27 abr 2025]. Available from: https://www.gov.br/saude/pt-br/assuntos/pcdt/l

Ministério da Saúde (BR). Tabela unificada de procedimentos – SIGTAP: Procedure 0304030058 [Internet]. Brasília: Ministério da Saúde (BR); 2025 [cited 2025 Apr 27]. Available from: http://sigtap.datasus.gov.br/tabela-unificada/app/sec/procedimento/exibir/0304030058/04/2025

Hopfinger G, Busch R, Pflug N, Eichhorst B, Fink AM, Bahlo J, et al. Sequential chemoimmunotherapy of fludarabine, mitoxantrone, and cyclophosphamide induction followed by alemtuzumab consolidation is effective in T-cell prolymphocytic leukemia. Cancer. 2013 Jun;119(12):2258-67. doi: 10.1002/cncr.27972.

Staber PB, Herling M, Bellido M, Jacobsen ED, Davids MS, Kadia TM, et al. Consensus criteria for diagnosis, staging, and treatment response assessment of T-cell prolymphocytic leukemia. Blood. 2019 Oct 3;134(14):1132-43. doi: 10.1182/blood.2019000604.

Frater JL. T-cell prolymphocytic leukemia: Review of an entity and its differential diagnostic considerations. Int J Lab Hematol. 2020 Jun;42 Suppl 1:90-8. doi: 10.1111/ijlh.13180.

Jain P, Aoki E, Keating M, Wierda WG, O’Brien S, Gonzalez GN, et al. Characteristics, outcomes, prognostic factors and treatment of patients with T-cell prolymphocytic leukemia (T-PLL). Ann Oncol. 2017 Jul;28(7):1554–1559. doi:10.1093/annonc/mdx163.

Peña C, Valladares X, Soto C, Encina A, Marinov Martinic N, et al. Leucemia prolinfocítica T variante de células cerebriformes: Presentación de un caso y revisión de la literatura. Rev Med Chile. 2016;144:124–128. doi:10.4067/S0034-98872016000100016.

Guillaume T, Beguin Y, Tabrizi R, Nguyen S, Blaise D, et al. Allogeneic hematopoietic stem cell transplantation for T-prolymphocytic leukemia: A report from the French society for stem cell transplantation (SFGM-TC). Eur J Haematol. 2015 Mar;94(3):265–269. doi:10.1111/ejh.12430.

Koc Y, Zeiser R, van Gelder M, Jedrzejczak WW, Raj KK, et al. Long-term outcomes of allogeneic hematopoietic cell transplantation in T-cell prolymphocytic leukemia. Blood. 2024;144(Suppl 1):600. doi:10.1182/blood-2024-198075.

Publicado

2025-12-30

Número

Sección

Clínica Assistencial

Cómo citar

1.
T-cell prolymphocytic leukemia with cutaneous presentation: a case report. Com. Ciências Saúde [Internet]. 2025 Dec. 30 [cited 2025 Dec. 30];36(1). Available from: https://revistaccs.espdf.fepecs.edu.br/index.php/comunicacaoemcienciasdasaude/article/view/1764

Artículos similares

1-10 de 23

También puede Iniciar una búsqueda de similitud avanzada para este artículo.