1. TIM‐3 deficiency presenting with two clonally unrelated episodes of mesenteric and subcutaneous panniculitis‐like T‐cell lymphoma and hemophagocytic lymphohistiocytosis
- Author
-
Myriam Ricarda Lorenz, Christian P. Kratz, Miriam Groß, Charlotte M. Niemeyer, Oliver Wegehaupt, Stephan Ehl, Annette Schmitt-Graeff, Klaus Schwarz, Markus Uhl, Claudia Wehr, and Reinhard Marks
- Subjects
Male ,Pathology ,medicine.medical_specialty ,Panniculitis ,Adolescent ,medicine.medical_treatment ,Adipose tissue ,Hematopoietic stem cell transplantation ,Lymphoma, T-Cell ,Lymphohistiocytosis, Hemophagocytic ,03 medical and health sciences ,0302 clinical medicine ,Germline mutation ,Subcutaneous Panniculitis-Like T-Cell Lymphoma ,Humans ,Medicine ,Mesentery ,Hepatitis A Virus Cellular Receptor 2 ,Germ-Line Mutation ,Hemophagocytic lymphohistiocytosis ,biology ,business.industry ,Hematology ,Prognosis ,medicine.disease ,Lymphoma ,Non-Hodgkin's lymphoma ,Oncology ,030220 oncology & carcinogenesis ,Pediatrics, Perinatology and Child Health ,biology.protein ,Antibody ,business ,030215 immunology - Abstract
This report offers novel clinical and diagnostic aspects of the association between germline mutations in HAVCR2 and subcutaneous panniculitis-like T-cell lymphoma (SPTCL). The patient presented with panniculitis-like T-cell lymphoma involving mesenteric fatty tissue associated with hemophagocytic lymphohistiocytosis (HLH). Five years later, he developed a clonally unrelated SPTCL and underwent hematopoietic stem cell transplantation. Retrospectively, he was found to carry germline mutations in HAVCR2 associated with reduced T-cell immunoglobulin mucin-3 (TIM-3) expression. We show that mesenteric fatty tissue localization of SPTCL can be the presenting manifestation of TIM-3 deficiency, that this condition predisposes to recurrent lymphoma, and that flow cytometry is a possible screening tool.
- Published
- 2020