Extranodal natural killer/T cell lymphoma, nasal type presenting as a palatal perforation and naso-oral fistula

Vijaya Raj Bhatt, Bibek Koirala, Terenig Terjanian

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Extranodal natural killer/T cell lymphoma (ENKL), nasal type, a rare disease presenting with vague non-specific symptoms, can impose great diagnostic difficulties and may masquerade several infectious, rheumatological or neoplastic conditions. Here, the authors report a case of ENKL presenting as a palatal perforation, naso-oral fistula and fever in a 21-year-old man, which was initially misdiagnosed as bacterial osteomyelitis, invasive fungal infection and Wegener's granulomatosis. The case report underlines the possibility of ENKL occurring at a young age, its rapidly progressive and locally destructive nature, associated diagnostic challenges and the importance of immunophenotyping in establishing the diagnosis.

Original languageEnglish (US)
JournalBMJ case reports
StatePublished - 2011


ASJC Scopus subject areas

  • Medicine(all)

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