Random skin biopsy successfully diagnosed intravascular large B-cell lymphoma in an 81-year-old woman presenting with unexplained progressive bilateral leg edema and elevated lactate dehydrogenase.
Case Report (n=1)
Intravascular large B-cell lymphoma should be considered in cases of unexplained acute bilateral leg edema with markedly elevated LDH, and random skin biopsy is a useful diagnostic tool.
An 81-year-old woman presented with subacute progressive bilateral leg edema without fever or weight loss. Laboratory tests showed elevated C-reactive protein (4.89 mg/dL) and lactate dehydrogenase (1314 U/L) levels. A random skin biopsy revealed intravascular large B-cell lymphoma (IVLBCL). Intravascular large B-cell lymphoma can cause isolated bilateral leg edema without fever or weight loss and should be suspected in cases of unexplained edema accompanied by a high lactate dehydrogenase level. A random skin biopsy is useful for confirming the diagnosis.
Hirata et al. (Fri,) conducted a case report in Intravascular large B-cell lymphoma (n=1). Random skin biopsy was evaluated on Diagnosis of intravascular large B-cell lymphoma. Random skin biopsy successfully diagnosed intravascular large B-cell lymphoma in an 81-year-old woman presenting with unexplained progressive bilateral leg edema and elevated lactate dehydrogenase.