Journal of Medical Case Reports (Aug 2023)

Spontaneous remission of angioimmunoblastic T-cell lymphoma in a child with ataxia–telangiectasia: a case report

  • Dima Abla,
  • Abeer Al-Battashi,
  • Khalil Albiroty,
  • Khuloud Abu Qasida,
  • Nasser Al-Rahbi,
  • Salah Al-Awaidy

DOI
https://doi.org/10.1186/s13256-023-04050-5
Journal volume & issue
Vol. 17, no. 1
pp. 1 – 6

Abstract

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Abstract Background Angioimmunoblastic T-cell lymphoma is an uncommon subtype of peripheral T-cell lymphoma in children with fewer than 20 cases reported in literature. Case presentation A 3-year-old Omani boy was diagnosed with ataxia–talengectasia presenting with fever and generalized lymphadenopathy. His biopsy revealed atypical lymphocytic infiltrate consistent with the diagnosis of angioimmunoblastic T-cell lymphoma. Within 3 weeks from the initial presentation and without any neoadjuvant therapy, he showed complete recovery of symptoms with absence of fever and regression of all previously affected lymph nodes. He has remained in remission ever since. Conclusion This is the first report of spontaneous improvement of angioimmunoblastic T-cell lymphoma in a patient with ataxia–telangiectasia who was 3 years old at presentation. Owing to the paucity of similar cases, this report adds valuable diagnostic, therapeutic, and monitoring data.

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