Letter - Clinical
Acquired ichthyosis as a messenger to gastric diffuse large B-cell lymphoma
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(D) After treatment, the skin rash was partially improved.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Yukina Watanabe, Tomoko Hiraiwa, Mikio Ohtsuka, Toshiyuki Yamamoto" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Yukina" "apellidos" => "Watanabe" ] 1 => array:2 [ "nombre" => "Tomoko" "apellidos" => "Hiraiwa" ] 2 => array:2 [ "nombre" => "Mikio" "apellidos" => "Ohtsuka" ] 3 => array:2 [ "nombre" => "Toshiyuki" "apellidos" => "Yamamoto" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "pt" => array:9 [ "pii" => "S2666275224001747" "doi" => "10.1016/j.abdp.2024.07.019" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275224001747?idApp=UINPBA00008Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059624001545?idApp=UINPBA00008Z" "url" => "/03650596/0000009900000006/v1_202410230911/S0365059624001545/v1_202410230911/en/main.assets" ] "en" => array:17 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter - Clinical</span>" "titulo" => "Acquired ichthyosis as a messenger to gastric diffuse large B-cell lymphoma" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">Dear Editor,</span>" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "956" "paginaFinal" => "957" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "İrfan Yavaşoğlu, Atakan Turgutkaya, Canten Tataroğlu, Ali Zahit Bolaman" "autores" => array:4 [ 0 => array:3 [ "nombre" => "İrfan" "apellidos" => "Yavaşoğlu" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "nombre" => "Atakan" "apellidos" => "Turgutkaya" "email" => array:1 [ 0 => "atakanturgutkaya@yahoo.com.tr" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 2 => array:3 [ "nombre" => "Canten" "apellidos" => "Tataroğlu" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Ali Zahit" "apellidos" => "Bolaman" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Division of Hematology, Aydin Adnan Menderes University Medical Faculty, Aydin, Turkey" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Division of Pathology, Aydin Adnan Menderes University Medical Faculty, Aydın, Turkey" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1801 "Ancho" => 1675 "Tamanyo" => 203170 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Polygon-shaped brown, grey, or white scales on the forearm. (B) Resolution after the treatment.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 50-year-old male patient presented with recurrent bloody vomiting. In the endoscopic examination, a tumoral lesion was detected in the gastric antrum. Immediate gastrectomy was performed due to perforation. Histopathological examination diagnosed a triple-expressor gastric Diffuse Large B-Cell Lymphoma (DLBCL) [Bcl-2 focal (60%), Bcl-6 focal (40%), C-Myc (10%), CD10 focal (70%)]. The Ki-67 index was positive at 60%. A stool examination of the Helicobacter pylori antigen was negative. PET-CT demonstrated no involvement at the operation (gastrectomy) site.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The patient had been complaining of itchy, polygon-shaped brown, gray, and white scales on the whole-body skin, more prominently on the extremities, for 2 years. At the same time, the skin was very dry and thickened (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). There was no similar history in the patient’s family. The patient was started on R-CHOEP (Rituximab, Doxorubicin, Vincristine, Etoposide, Cyclophosphamide, and Prednisolone) chemotherapy. Also, a skin biopsy was performed. In the skin tissue hyperkeratosis, papillomatosis, mild acanthosis, and absent granular layer were noted. Perivascular mononuclear cell infiltration was observed in the superficial dermis (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). At the end of chemotherapy, skin findings improved (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Ichthyosis presents as rough, dry, skin with a large plate-like scale, and it can either be hereditary or acquired. Acquired Ichthyosis is defined in neoplastic disorders (Hodgkin's lymphoma, anaplastic large cell lymphoma, multiple myeloma, mycosis fungoides, POEMS [polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, skin changes] syndrome, Kaposi's sarcoma, leiomyosarcoma, etc). Also, it is known to be associated with malnutrition, infections (HIV, Human T-lymphotropic virus), hypothyroidism, celiac disease, autoimmune conditions, sarcoidosis, graft-versus-host disease, and drug intake (hydroxyurea, allopurinol, vemurafenib, cholesterol-lowering medications, etc.). It is assumed that ichthyosis can be caused by impaired epidermal lipogenesis and production of transforming growth factor-α by tumor cells and impaired vitamin A metabolism.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a> According to the best of our knowledge, our case is the first ichthyosis as a precursor to gastric DLBCL.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financial support</span><p id="par0020" class="elsevierStylePara elsevierViewall">None declared.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Authors’ contributions</span><p id="par0025" class="elsevierStylePara elsevierViewall">İrfan Yavaşoğlu: Design and planning of the study; Data collection, or analysis and interpretation of data; Drafting and editing of the manuscript or critical review of important intellectual content; Collection, analysis, and interpretation of data; Critical review of the literature; Approval of the final version of the manuscript.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Atakan Turgutkaya: Data collection, or analysis and interpretation of data; Drafting and editing of the manuscript or critical review of important intellectual content; Collection, analysis, and interpretation of data; Critical review of the literature.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Canten Tataroğlu: Data collection, analysis, and interpretation of data; Drafting and editing of the manuscript or critical review of important intellectual content.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Ali Zahit Bolaman: Design and planning of the study; Data collection, or analysis and interpretation of data; Drafting and editing of the manuscript or critical review of important intellectual content; Collection, analysis, and interpretation of data; Critical review of the literature; Approval of the final version of the manuscript.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of interest</span><p id="par0045" class="elsevierStylePara elsevierViewall">None declared.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Financial support" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Authors’ contributions" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicts of interest" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2023-06-19" "fechaAceptado" => "2023-08-16" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Study conducted at the Aydin Adnan Menderes University Medical Faculty, Aydın, Turkey.</p>" ] ] "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1801 "Ancho" => 1675 "Tamanyo" => 203170 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Polygon-shaped brown, grey, or white scales on the forearm. (B) Resolution after the treatment.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1266 "Ancho" => 1683 "Tamanyo" => 783203 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Orthohyperkeratosis, absence of granular cell layer and mild acanthosis are observed in the epidermis. In the upper dermis is a mild perivascular lymphocytic infiltrate (Hematoxylin & eosin, ×200).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ichthyosis: a harbinger of lymphoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "K. Mishra" 1 => "A. Jandial" 2 => "K. Gupta" 3 => "G. Prakash" 4 => "P. Malhotra" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "BMJ Case Rep" "fecha" => "2018" "volumen" => "2018" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Beware of underlying malignancy: acquired ichthyosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A.P. Word" 1 => "R. Cayce" 2 => "A.G. Pandya" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.amjmed.2013.12.009" "Revista" => array:6 [ "tituloSerie" => "Am J Med" "fecha" => "2014" "volumen" => "127" "paginaInicial" => "202" "paginaFinal" => "204" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24355352" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03650596/0000009900000006/v1_202410230911/S0365059624001442/v1_202410230911/en/main.assets" "Apartado" => array:4 [ "identificador" => "95153" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letter - Clinical" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03650596/0000009900000006/v1_202410230911/S0365059624001442/v1_202410230911/en/main.pdf?idApp=UINPBA00008Z&text.app=https://clinics.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059624001442?idApp=UINPBA00008Z" ]
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