ADULT T-CELL LEUKEMIA LYMPHOMA PRESENTING WITH DIGITAL GANGRENE/

There have been only a few reports in the literature of lymphoma patie nts suffering from digital gangrene. The present case, a 40-year-old m an with adult T-cell leukemia/lymphoma (ATLL) showed marked edematous and dyshidrosis-like changes of the digital fingers. As a result uf th ese changes, most of the fingertips of this patient were affected by g angrene. Histologically, lesions showed organized thrombi occluding ve ins in thr middle dermis. In patients suffering from malignant lymphom a, digital swelling and pain associated with cyanosis should receive c areful attention because of the possibility of digital gangrene. To ou r knowledge, this report is on the first ATLL case in the literature p resenting with digital gangrene associated with occlusive thrombi.