Paniculitis como manifestación de síndrome febril prolongado en pediatría. Caso clínico: Case report

Translated title of the contribution: Paniculitis as manifestation of prolonged febrile syndrome: Case report

Alexa Puchi Silva, Paulina López Radrigán, Montserrat Zapico Lafuente, Sergio Tapia Carrere, Sergio González Bombardiere

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Introduction: Fever of unknown origin (FUO) is defined as fever over 7 to 10 days without a diagnosis despite a complete initial study. The most frequent causes are infections, autoimmune and tumors. Even though most cases are self-limited there is a minority that has an underlying etiology with an ominous forecast, encouraging a systematized study. Objective: To report a rare case of a boy who presented fever of unknown origin associated to panniculitis and was diagnosed of subcutaneous panniculitis-like-T cell lymphoma and to emphasis the importance of a sequential study of FUO, in order to reach a diagnosis in patients who need a timely intervention. Clinical case: A ten year old boy, previously healthy, presented subcutaneous nodular lesions of 2 month of evolution, located in abdominal region and extremities, given few symptoms, associated with prolonged fever. He was hospitalized for proper study, in first instance infectious and immune causes were discarded and through lesions biopsy the diagnose of subcutaneous panniculitis-like-T cell lymphoma was reached. Conclusion: When FUO is diagnosed, most prevalent causes must be discarded. Then, differential diagnosis, such as immune and neoplasic etiologies, have to be considered. If FUO is associated to elemental nodular lesions, biopsy must be indicated early, in order to find potential malignant cases, avoiding therapeutic delay.

Translated title of the contributionPaniculitis as manifestation of prolonged febrile syndrome: Case report
Original languageSpanish
Pages (from-to)398-402
Number of pages5
JournalRevista Chilena de Pediatria
Volume88
Issue number3
DOIs
Publication statusPublished - 1 May 2017

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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