In this article, we report a 34-year-old man who presented with
progressive hip pain and osteolytic bone lesions . Primary workup
included Core needle biopsies manifested as osteomyelitis; however as no
sign of remission was observed, an open biopsy considered which revealed
primary bone lymphoma.
In this article, we report a 34-year-old man who presented with progressive hip pain and osteolytic bone lesions.Primary workups included core needle biopsies manifested as osteomyelitis; however, as no sign of remission was observed, an open biopsy was considered which revealed primary bone lymphoma.Primary bone diffuse large B-cell lymphoma (PB-DLBCL) is a destructive primary extranodal lymphoma that accounts for 55.7% of all primary bone lymphomas. 1 Patients are clinically presented with bone pain that is not relieved by rest, soft tissue swelling, palpable mass, pathologic fracture, joint contracture, cord compression, and systemic symptoms such as fever, unintentional weight loss, and night sweats. 2 The common primary site of bone involvement is the axial skeleton rather than the appendicular skeleton (63 versus 37 percent). 3 The diagnosis of (PB-DLBCL) is based on both imaging and histopathologic findings. Tissue samples can be taken either percutaneously or via open biopsy. Few primary bone lymphoma cases have been reported in the literature. These cases are usually misdiagnosed, particularly with osteomyelitis. The symptoms often persist for many months before the patient seeks appropriate medical care. 4 Herein, we describe a 34-year-old young man with persistent bone pain whose core needle biopsies were consistent with osteomyelitis; however, his open biopsy revealed PB-DLBCL to be the underlying cause.
| CASE PRESENTATIONA 34-year-old man with no significant past medical or surgical history complaining of dull low back pain and non-traumatic progressive right hip pain, which he had
In this article, we report a 34-year-old man who presented with a buccal
progressive ulcerated lesion which through histopathologic and IHC
findings diagnosed as Peripheral T-cell lymphoma.
Consider amiodarone pneumonitis as an important differential diagnosis of ARDS, especially in clinically ill patients who recently received Intravenous amiodarone.
We present 58-year-old man on long-term statin therapy with history of
ischemic heart disease and percutaneous coronary intervention.
Statin-associated tendon rupture is an uncommon clinical presentation
that happened in our case. We review the literature to find the reliable
substitute of statin in such high-risk patients for atherosclerotic
cardiovascular disease.
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