Approximately half of all mediastinal lesions are asymptomatic and are detected on chest radiographs taken for unrelated reasons. The absence of symptoms suggests that a lesion is (maybe) benign, whereas the presence of symptoms suggests malignancy. In adults, 48-62% of lesions are symptomatic, whereas the percentage of symptomatic lesions is higher in children (58 to 78%). The most common symptoms are cardiorespiratory - in particular, chest pain and cough. Other manifestations are heaviness in the chest, dyspnea, signs of superior vena caval obstruction with facial swelling, and cyanosis. Recurrent respiratory infections are also common. Cutaneous paraneoplastic manifestations in Hodgkin Lymphoma (HL) have been well described. These include eczema, prurigo, mycosis fungoidosis and erythema nodosum. Pruritus is a well-recognized presenting symptom of Hodgkin lymphoma [1,2]. We report a 28 year old lady who presented with pruritic skin lesions and was later diagnosed to have Hodgkin lymphoma. This serves to illustrate the point that intractable eczema or prurigo should warn the clinician a possibility of underlying sinister process.

Author Name: Srilata Puru Naik

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Keywords: prurigo, paraneoplastic

ISSN:

EISSN: 2161-105X.1000247

EOI/DOI: 10.4172/2161-105X.1000247

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