Fett NM, Siddiqui J, Creswell CH, Zhang D, Lloyd R, Wood GS. Adult T-cell leukemia/lymphoma in a patient from Romania: a case report and review of the literature.
J Cutan Pathol 2008;
35 Suppl 1:32-7. [PMID:
18544058 DOI:
10.1111/j.1600-0560.2007.00962.x]
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Abstract
Adult T-cell leukemia/lymphoma (ATLL) is a rare malignancy caused by human T-cell leukemia virus-1. ATLL is endemic to Japan, and to date, there are only four case reports of patients from Romania who have developed ATLL. Here, we describe a woman living in Madison, Wisconsin, originally from Romania, who presented with an atypical papulosquamous eruption and was ultimately diagnosed with smoldering ATLL. Narrow-band ultraviolet-B (UV-B) therapy and mid-potency topical steroids resulted in skin clearing for approximately 5 months after diagnosis; however, she subsequently relapsed with disease refractory to both narrow band UV-B and psoralen plus ultraviolet A (PUV-A), progressed to acute ATLL and expired secondary to complications.
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