Korean J Crit Care Med.  2010 Mar;25(1):43-47. 10.4266/kjccm.2010.25.1.43.

A Case of Peripheral T Cell Lymphoma Presenting as Severe Hypoxic Respiratory Failure: A Case Report

Affiliations
  • 1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. yongsu3@gmail.com
  • 2Department of Pathology, Chonnam National University Medical School, Gwangju, Korea.
  • 3Department of Radiology, Chonnam National University Medical School, Gwangju, Korea.

Abstract

We describe here the first known case in Korea of pulmonary involvement with peripheral T cell lymphoma and the patient presented with severe hypoxic respiratory failure. A 57-yr-old man was admitted to our hospital with rapid progression of dyspnea and bilateral diffuse infiltration on a chest radiograph. He received mechanical ventilation and low dose corticosteroid treatment under the suspicion of critical illness-related corticosteroid insufficiency. Transbronchial lung biopsy revealed large atypical lymphoid cells with positivity for CD3+. We diagnosed this patient as having a peripheral T cell lymphoma and we treated him with high dose corticosteroid. His clinical and radiologic findings rapidly improved and then he received a full dose of chemotherapy for the peripheral T cell lymphoma.

Keyword

corticosteroid; lymphoma; respiratory failure

MeSH Terms

Biopsy
Dyspnea
Humans
Korea
Lung
Lymphocytes
Lymphoma
Lymphoma, T-Cell, Peripheral
Respiration, Artificial
Respiratory Insufficiency
Thorax
Full Text Links
  • KJCCM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr