Silence is near! A man has had eczema for 2 years. He hasn’t been able to cure it. Go to the hospital to check once more. Shocked to find lymphoma on the skin
Some diseases are silent, asymptomatic. hidden in the body which can show symptoms to know But who would have thought that a red rash, ringworm, scabs, and a few white patches were found to be lymphoma?
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Dr. Chai Yishan, a dermatologist specializing in Explained via YouTube Health 2.0 pointed out thatSome skin cancers are no different from leprosy or common eczema. and warned that Occasionally, the same symptoms may be present. In addition, there is severe itching, redness, fever, and a slight response during treatment, but is not completely cured.
Some patients had repeated episodes of eczema for two years and were eventually diagnosed with cutaneous T-cell lymphoma. Doctors have seen this case before, a 70-year-old Hong Kong patient who has lived in Taiwan for a while and has had eczema or psoriasis for two years.
Initially, the patient was very worried. Because there was only one symptom of remission, he decided to go to a major hospital for treatment. At that time, doctors cut a small piece of skin to take a biopsy of the patient. And the result exceeded the expectations of doctors. I was surprised, because it was actually T-cell lymphoma of the skin. that looks like eczema
The patient is still quite alarmed. Without knowing if he has eczema or cancer, Dr. Cai Yishan said there are two indicators that can be further judged. The first is age. Aging or being over 65 will impair the skin’s ability to repair.
the second is The response to treatment was ineffective. This corresponds to the case of a Hong Kong patient diagnosed with T-cell lymphoma due to repeated steroid use, but the symptoms have not improved, he stressed that he should be alert and observe. If it is common eczema When applying the drug, the rashes will disappear, butIf the medication is not cured or not treated until the symptoms are severe, it may not be normal eczema. It is recommended to observe for at least 3 to 5 days and then see a dermatologist for a biopsy.
Hematology Association of Thailand Prof. Dr. Chantana Phonprasert describes skin lymphoma that There are two forms of cutaneous lymphoma: lymphoma that occurs in a specific location in the lymph nodes and spreads to the skin. This feature is called stage IV lymphoma. It is the stage that has spread to the skin.
Another model is Characteristics that lymphoma only occurs on the skin. The prognosis and treatment are different from the first group. This will be the main group discussed in this article. In which skin lymphomas are found in both B and T cells. but T cell types are found more often.
namely mycosis fungoides (MF) lymphoma The most common symptom is a red, raised rash. There are some lumps of skin on the flat rash. There may be a wound on the lump. In general, if the lesion is a raised rash and localized flat rash, there is a good prognosis. The survival rate at 5 and 10 years is greater than 90%.
subcutaneous panniculitis-like T-cell lymphoma (SPTCL) CD8-type T-cell lymphoma. Symptoms are usually blisters from the subcutaneous fat layer in various locations, including the arms, legs, trunk, etc. Most of the symptoms are gradual. Some people can also have a fever. A minority with severe symptoms develop hematopoietic in the bone marrow. This is a severe condition that can be life threatening.
Currently, there is information that this disease is caused byinherited recessive genes It is caused by mutations in the HAVCR2 gene inherited from the father and mother. It is a risk factor and the factors that provoke the disease include infection, mutations in other genes. together with causing the immune system to be abnormal, etc.
In addition, Dr. Chai Yishan said that eczema is divided into three types: acute eczema. This will cause small blisters. small papules And severe itching when symptoms may develop into subacute eczema and the skin will begin to thicken. With symptoms ranging from 3-6 months, sometimes 3-6 years, chronic eczema causes the skin to look thicker.
Phyathai Hospital reveal Risk Factors for Lymphoma It mostly happens to “male” than female. Between 60 and 70 years of age, including those with Helicobacter pylori infection and EBV infection, exposure to chemicals such as pesticides, as well as in patients with SLE or in HIV-infected patients.
Factors that provoke lymphoma from lifestyle behavior The risk factors are from eating chocolate, butter or cheese, and drinking alcohol on a regular basis. hormonal changes as well as sleep deprivation not enough rest Living in an environment with the smell of cigarette smoke, perfume and extreme heat.
Thank you for coming from Youtube Phyathai Hospital Hematology Association of Thailand
