Multiple skin nodules as presenting feature of lymphoblastic lymphoma: a diagnostic dilemma

摘要

Cutaneous manifestations of malignancies in children are not uncommon. A thirteen year old girl presented with multiple skin nodules on the scalp, face and trunk. Histopathology established the diagnosis of T cell lymphoblastic lymphoma. This case is being presented for its rarity and clinical interest. Case Report A 13 year old girl presented with multiple nodular lesions over her scalp and plaques of violaceous discolouration over her chest and face. She was otherwise well and had no constitutional symptoms. On examination she was afebrile, had no enlarged lymph nodes and abdominal examination showed no hepatosplenomegaly. She had multiple nodules over the scalp, hyper pigmented, violaceous, non tender, rubbery-firm in consistency and measuring about 2-4cm. There were similar lesions on the chest and abdomen (figure 1,2).