Cardiogenic shock due to progression of cutaneous T-cell lymphoma

Dennis L. Cooper, John H. Sinard, Richard L. Edelson, Stuart D. Flynn

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

We describe a patient with progressive cutaneous T-cell lymphoma (CTCL) and development of subacute cardiac failure. Symptomatic lymphomatous involvement of the heart may be more common in patients with CTCL than in other lymphomas because the former is more likely to be associated with circulating tumor cells and hematogenous spread to the myocardium. No single symptom or sign is highly predictive of cardiac involvement, but unexplained tachyarrhythmias, conduction disturbances, low voltage on ECG, and unexplained cardiac enlargement should arouse clinical suspicion. Although echocardiography may be helpful in suggesting cardiac involvement, endomyocardial biopsy should be considered in patients with a reasonable chance of responding to chemotherapy or radiation.

Original languageEnglish (US)
Pages (from-to)89-94
Number of pages6
JournalSouthern Medical Journal
Volume87
Issue number1
DOIs
StatePublished - Jan 1994

    Fingerprint

ASJC Scopus subject areas

  • Medicine(all)

Cite this