We report on a 63-year-old febrile woman who was diagnosed as having H
odgkin's disease (HD), after laparotomy. About one and half years late
r, while on a second line therapy for HD, the patient developed superf
icial diffuse adenomegaly. At that time, an M component was detected i
n the serum; bone marrow aspirate and biopsy were consistent with mult
iple myeloma (MM). An axillary lymphnode biopsy was performed and reve
aled a peripheral T cell lymphoma (PTCL). On reviewing previous sample
s the earlier diagnosis of HD was rejected and a diagnosis of PTCL was
postulated. The clinical course of the patient was rapidly down-hill;
she died soon after hospital admission.