Journal List > J Rheum Dis > v.21(1) > 1064161

Kim, Pyo, Kim, Kim, Jeoung, Ji, and Lee: Acute Precursor T Cell Lymphoblastic Leukemia Associated with Behcet's Disease: A Case Report

Abstract

Behcet's disease is an inflammatory disorder characterized by recurrent oral aphthous ulcers, genital ulcers, uveitis, and skin lesions. A few cases of hematologic disease in patients with Behcet's disease have been reported in the literature. However, acute precursor T cell lymphoblastic leukemia has never been described in association with Behcet's disease. We recently encountered a case of acute precursor T cell lymphoblastic leukemia in a 62-year-old man with a prior diagnosis of Behcet's disease. The patient presented with febrile neutropenia and his bone marrow biopsy revealed acute precursor T cell lymphoblastic leukemia. He was scheduled to undergo therapeutic che-motherapy, but unfortunately he died from pneumonia prior to treatment.

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Figure 1.
Endoscopic findings show a deep ulcer beneath the ileal opening.
jrd-21-46f1.tif
Figure 2.
Peripheral blood smear shows abnormal cell (arrow) (H&E stain, ×1,000).
jrd-21-46f2.tif
Figure 3.
Bone marrow aspiration shows leukemic blasts with variable size (A, H&E stain, ×400). Leukemic blasts show irregular nuclei, and indistinct nucleoli (arrows) (B, H&E stain, ×1,000).
jrd-21-46f3.tif
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