Diagnostic Dilemma in a Patient With Chronic Fistulating Nonhealing Ulcer

authors:

avatar Sedigheh Rafiei Tabatabaei 1 , avatar Abdollah Karimi 1 , avatar Ali Amanati ORCID 1 , * , avatar Maryam Kazemi Aghdam 2 , avatar Bibi Shahin Shamsian 3 , avatar Javad Ghoroubi 4

Pediatric Infections Research Center, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
Pediatric Pathology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
Pediatric Congenital Hematologic Disorders Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran

how to cite: Rafiei Tabatabaei S, Karimi A, Amanati A, Kazemi Aghdam M, Shamsian B S, et al. Diagnostic Dilemma in a Patient With Chronic Fistulating Nonhealing Ulcer. Arch Pediatr Infect Dis. 2014;2(3):16471. https://doi.org/10.5812/pedinfect.16471.

Abstract

Here, we report on a ten-year-old girl with chronic draining nonhealing ulcer in her neck and unilateral cervical chronic lymphadenopathy. Her ulcer had poor clinical response to broad spectrum antibiotics and anti-tuberculosis treatment. She had undergone several wound biopsies with no conclusive results. She was otherwise healthy with no known underlying disease. Final wound excisional biopsy with specific immunohistochemistry (IHC) staining confirmed her diagnosis. Histopathology report and IHC were compatible, indicating an anaplastic large cell lymphoma.

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