Abstract

SANCHEZ VILCAPUMA, Walter Junior; PATRON-ORDONEZ, Gino  and  CERRILLO SANCHEZ, Gustavo Adolfo. Angioimmunoblastic T-cell lymphoma as a mimic of systemic lupus erythematosus. An. Fac. med. [online]. 2022, vol.83, n.4, pp.349-352.  Epub Nov 22, 2022. ISSN 1025-5583.  http://dx.doi.org/10.15381/anales.v83i4.23827.

Angioimmunoblastic T-cell lymphoma (LAIT) is a rare non-Hodgkin lymphoma, can mimic autoimmune diseases, and has a poor prognosis. We present the case of a 36-year-old woman with a 3-year illness characterized by fever, arthralgia and weight loss. She was initially diagnosed as systemic lupus erythematosus, but finding no improvement with treatment, her diagnosis was reconsidered. In a new hospitalization, multiple lymph nodes were identified. They performed a biopsy of one of the adenopathies, the pathology was compatible with LAIT. Three chemotherapy sessions were indicated, however, she developed multiple organ failure with a fatal outcome. LAIT is a diagnostic challenge because it can mimic several autoimmune pathologies. Its suspicion and ruling out is very important to initiate early treatment that improves patient survival.

Keywords : Lymphoma, Non-Hodgkin; Lymphoma, T-Cell; Lupus Erythematosus, Systemic.

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