I am a
Home I AM A Search Login

Papers of the Week

2020 Apr 28

J Hand Surg Am

Unusual Manifestation of Chronic Lymphocytic Leukemia in the Hand.


Cruz D, Wild T, Glavynskyi I, Weissenberg K, Frenzel S, Florschütz A, Winter J
J Hand Surg Am. 2020 Apr 28.
PMID: 32359865.


Chronic lymphocytic leukemia (CLL) involving the hand, especially with bone involvement, is extremely rare. We report a case of a 62-year-old man, with a 4-year history of a subclinical CLL, presenting with chronic swelling and pain over the dorsal surface of the right hand, mimicking an infectious process. There was no clinical response to broad-spectrum antibiotics and topical corticosteroid therapy. Imaging was inconclusive. A tissue biopsy revealed a manifestation of the underlying leukemia. This case highlights the need to consider uncommon etiologies for atypical clinical presentations.