Constrictive pericarditis as the first presentation of untreated Angioimmunoblastic Peripheral T-cell Lymphoma in a young
patientDeepesh Venkatraman, Pranab Kumar Biswas, Swajit Majumder, Shankar Paul Chowdhury, Debojyoti Sarkar, Monika Bhandari, Kushaal
Vikram and Debabrata Bera.
Primary and secondary cardiac lymphoma mainly involves pericardium
as pericardial effusion or cardiac tamponade, and when it does so, already
the disease is in an advanced stage with many other viscera already
affected.1 Lymphoma leading to cardiac constriction is very rare, and
the manifestations of constriction are predominantly subclinical or
insidious or autopsy diagnosed. Hence a symptomatic clinical presentation
of this rare sequel, like in our case, needs high index of suspicion
for an underlying malignant disease.2 Our case is further distinct with
regards to the subtype of lymphoma leading to the constriction, the age
of presentation of the patient, the clinical course of the disease, and the
distribution of the organs involved.
There were enlarged lymph nodes in the rightgroin
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