Diagnostic Dilemma in a Patient With Chronic Fistulating Nonhealing Ulcer

AUTHORS

Sedigheh Rafiei Tabatabaei 1 , Abdollah Karimi 1 , Ali Amanati 1 , * , Maryam Kazemi Aghdam 2 , Bibi Shahin Shamsian 3 , Javad Ghoroubi 4

1 Pediatric Infections Research Center, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran

2 Pediatric Pathology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran

3 Pediatric Congenital Hematologic Disorders Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran

4 Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran

How to Cite: Rafiei Tabatabaei S, Karimi A, Amanati A, Kazemi Aghdam M, Shamsian B S, et al. Diagnostic Dilemma in a Patient With Chronic Fistulating Nonhealing Ulcer, Arch Pediatr Infect Dis. 2013 ; 2(3):16471. doi: 10.5812/pedinfect.16471.

ARTICLE INFORMATION

Archives of Pediatric Infectious Diseases: 2 (3); 16471
Published Online: July 17, 2014
Article Type: Case Report
Accepted: January 7, 2014
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Abstract

Here, we report on a ten-year-old girl with chronic draining nonhealing ulcer in her neck and unilateral cervical chronic lymphadenopathy. Her ulcer had poor clinical response to broad spectrum antibiotics and anti-tuberculosis treatment. She had undergone several wound biopsies with no conclusive results. She was otherwise healthy with no known underlying disease. Final wound excisional biopsy with specific immunohistochemistry (IHC) staining confirmed her diagnosis. Histopathology report and IHC were compatible, indicating an anaplastic large cell lymphoma.

Keywords

Wounds and Injuries Neck Lymphatic Diseases Lymphoma, Large-Cell, Anaplastic

© 2013, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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