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Doubly Dangerous: Extranodal NK/T-Cell Lymphoma

The patient’s disease was already very advanced when the diagnosis was determined, and a hazardous complication was developing as well. A 63-year-old woman presented with a 2-month history of symmetrical violaceous swelling of the face (Figure 1A). Faint violaceous patches also marked her neck, upper chest, upper back, and both arms (Figure 1B). In addition, she had been […]

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Anchor’s Away: A Case of Apparent Sinusitis

Diagnostic errors, defined as failures to reach timely and accurate explanations for a patient’s presentation, affect the majority of our patients, because most will experience at least one diagnostic error in their lifetime.1 We report the case of a patient who was inappropriately diagnosed with acute bacterial rhinosinusitis and later found to have lymphoma. We use […]

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A Standing Dilemma: Autonomic Failure Preceding Hodgkin’s Lymphoma

Strange and relatively sudden symptoms in a 27-year-old man implied evidence of a rare paraneoplastic syndrome. The patient presented to the emergency department with syncope. He had been completely healthy until 6 weeks earlier when he noticed a mild sensation of lightheadedness on standing. Over the next several weeks, this was accompanied by tunnel vision, […]

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Tumor Melt

Tumor Melt: Primary Effusion Lymphoma of the Heart A 45-year-old African-American man with a history of acquired immunodeficiency syndrome presented with exertional syncope. Other pertinent symptoms included progressive dyspnea, lower-extremity edema, poor appetite, fevers, and 60-lb weight loss. The outpatient medication regimen included tenofovir/emtricitabine, ritonavir, and atazanavir with a CD4 count of 173 and a […]

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