An unusual lupus like malar rash pattern with hepatosplenomegaly as a presentation of gamma delta t cell lymphoma

About 12% of all lymphoid tumors worldwide are peripheral t cell lymphomas, which uncommon subtypes non-hodgkin lymphoma. they have a poor prognosis and more common in populations countries asia. T lymphomas with gamma delta receptors expressed them very rare (less than 1% neoplasms) extremely aggressive; originate from cells; small subset cells direct antigen recognition capability acting at the interface between innate adaptive immunity .
 Lymphoid tissue, skin, gastrointestinal tract, red pulp spleen where lymphocytes tend to cocentrate, representing only 1-5% total circulating lymphocytes, but accounting for up 30% entire population.
 In contrast alpha beta cells, develop cd4/cd8 thymic precursors bone marrow usually lack major histocompatibility complex restriction.
 These conduct as cytotoxic similar natural killer their activity early effectors innate, non-specific immune response capable receptor rearrangement well phagocytosis.
 Hepatosplenic lymphoma primary cutanous recognized two different entities.
 A characterized extranodal lymphoma, hepatosplenic has disguised onset, secondary intrasinusoidal infiltrationn spleen, liver, marrow, rapidly progressive course, is poorly responsive chemotherapy.
 panniculitis-like clinical picture prominent epidermal involvement can be presentation cutaneous lymphoma.
 this case study , authors will discuss 19 year old male patient present lupus like malar rash hepatosplenomegaly who had been diagnosed