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Images in cardiovascular medicine
Coronary and peripheral artery aneurysms in a patient with cutaneous T-cell lymphoma
  1. Hideki Yasutake1,
  2. Yoshihiko Ikeda2,
  3. Osami Kawarada1
  1. 1Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan
  2. 2Department of Pathology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan
  1. Correspondence to Hideki Yasutake, Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, Japan; yasutake{at}cardiology.med.osaka-u.ac.jp

https://doi.org/10.1136/heartasia-2016-010858

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    A 48-year-old man was referred to our institution for acute limb ischaemia. He had been diagnosed with cutaneous T-cell lymphoma, so-called mycosis fungoides by gene rearrangement analysis of skin biopsy samples 9 years ago. He had received prednisolone 5 mg daily and phototherapy for mycosis fungoides. Although allergy symptoms and signs including asthma, peripheral neuropathy and glomerulonephritis had not been evident, his rashes had been worsening in his face and abdomen for a few months.

    On examination, enhanced CT revealed thrombotic occlusion in the left posterior tibial artery (figure 1A, B) and multiple aneurysms of various systemic peripheral vascular beds, including those of posterior tibial artery, ulnar artery …

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