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A 62-year-old woman without any medical history was admitted to our hospital with a 4-week history of fever. Before the onset of fever, the patient had been diagnosed with spinal cord infarction (SCI) (figure 1A, B). Physical examination revealed no lymphadenopathy. Laboratory investigations revealed markedly elevated levels of soluble interleukin-2 receptor (sIL2R: 30 667 U/L). We performed a random skin biopsy1 from the thigh, abdomen and chest because contrast-enhanced CT did not reveal any lymphadenopathy for performing biopsy; the specimen revealed large atypical lymphoid cells filling up the capillary lumen (figure …
Contributors YY and YN drafted the manuscript; YY, YN, MO, YO, KO, KI and HN were in charge of the patient and collected the data; KT collected the data; and FO critically revised the manuscript. All authors approved the final version.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.