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Prete MD, Scarabello A, Lora V, Cota C. Stenotrophomonas maltophilia skin infection in an immunocompetent patient: Primary cutaneous CD30+ T-cell lymphoproliferative disorder or pseudolymphoma? J Cutan Pathol 2024; 51:403-406. [PMID: 38419370 DOI: 10.1111/cup.14600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Revised: 01/29/2024] [Accepted: 02/02/2024] [Indexed: 03/02/2024]
Abstract
Cutaneous pseudolymphomas are a wide group of diseases mimicking cutaneous lymphoma. They comprise several skin conditions with different etiopathogenesis, clinical-pathological features, and prognosis, which may occur in the absence of an identifiable trigger factor or after administration of medications or vaccinations, tattoos, infections, or arthropod bites. They present with different manifestations: from solitary to regionally clustered lesions, up to generalized distribution and, in rare cases, erythroderma. They persist variably, from weeks to years, and resolve spontaneously or after antibiotics, but may recur in some cases. CD30+ T-cell pseudolymphomas are characterized by the presence of large, activated lymphoid cells, generally in response to viral infections, arthropod assault reactions, and drug eruptions. Stenotrophomonas maltophilia is a ubiquitous Gram-negative bacillus responsible for opportunistic infections in immunocompromised patients. Infection of intact skin in immunocompetent patients is particularly rare. Here, we report a case of a man presenting an isolated nodule histopathologically mimicking a primary cutaneous CD30+ T-cell lymphoproliferative disorder.
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Affiliation(s)
- Monia Di Prete
- Dermatopathology Unit, San Gallicano Dermatological Institute IRCCS, Rome, Italy
| | | | - Viviana Lora
- Clinical Dermatology Unit, San Gallicano Dermatological Institute IRCCS, Rome, Italy
| | - Carlo Cota
- Dermatopathology Unit, San Gallicano Dermatological Institute IRCCS, Rome, Italy
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2
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Selvam R, John S, Sankar R, Khan E, Gupta S, Chandra S. B-cell Follicular Lymphoid Hyperplasia (Pseudolymphoma) of the Oral Cavity: A Diagnostic Quandary. Indian J Otolaryngol Head Neck Surg 2024; 76:1029-1032. [PMID: 38440658 PMCID: PMC10908898 DOI: 10.1007/s12070-023-04086-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 07/13/2023] [Indexed: 03/06/2024] Open
Abstract
Pseudolymphoma is a reactive process involving lymphadenopathy, polyclonal proliferation of B or T-cells, simulating oral lymphoma. With its incidence being very rare, only four cases have been reported in oral cavity with the detailed immunocytochemical examination, which can be due to this entity's unawareness, underdiagnosis or overdiagnosis. It is prerogative to perform immunocytochemical investigations to prevent overdiagnosis as lymphoma, which can be debilitating to the patient. Wherein the treatment of pseudolymphoma initially includes topical or intralesional corticosteroid, antibiotics to surgical and radiotherapy based on its etiology. Herein, we discuss B-cell follicular lymphoid hyperplasia previously diagnosed as small round cell tumor.
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Affiliation(s)
- Ramya Selvam
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, King George’s Medical University, Lucknow, India
| | - Sharon John
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, King George’s Medical University, Lucknow, India
| | - Roshna Sankar
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, King George’s Medical University, Lucknow, India
| | - Eram Khan
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, King George’s Medical University, Lucknow, India
| | - Shalini Gupta
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, King George’s Medical University, Lucknow, India
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3
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Oikonomidi C, Troupi M, Marinos L, Liatsos D, Chrysikos D, Filippou D, Troupis T. Cutaneous B-cell Pseudolymphoma: A Rare Case Masquerading a Thoracic Mass in a Fourteen-Year-Old Male Patient. Cureus 2023; 15:e38003. [PMID: 37223157 PMCID: PMC10203896 DOI: 10.7759/cureus.38003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/22/2023] [Indexed: 05/25/2023] Open
Abstract
Cutaneous B-cell pseudolymphoma (CBPL) may appear in the face, chest, or upper limbs, and it can be asymptomatic or in the form of nodules, papules, or masses. In most cases, it is idiopathic. However, some causes that have been identified are trauma, contact dermatitis, injected vaccinations, bacterial infections, tattoo dyes, insect bites, and certain drugs. Since the histology and clinical presentation of cutaneous pseudolymphoma (CPSL) are similar to those of cutaneous lymphomas, the diagnosis is usually based on an incisional or excisional biopsy. In this paper, a 14-year-old male patient with a two-month-old mass in the right lateral thoracic region is taken as a case study. He had neither symptoms, nor a past medical history, nor a family history. He had an insect bite a month ago and was fully vaccinated. However, the mass was some centimeters away from the insect bite. A biopsy was taken. The products of it were two paraffin cubes and two histological slides (H&E). The diagnosis was cutaneous B-cell pseudolymphoma. The total removal of the mass was decided since, in idiopathic cases like this, CBPL is not usually healed with topical and non-invasive treatments. Follow-up examinations were suggested since a further antigenic reaction is possible. If cutaneous B-pseudolymphoma is early diagnosed and treated, it does not cause serious problems. In some cases, it even resolves on its own.
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Affiliation(s)
| | - Maria Troupi
- Department of Anatomy, National and Kapodistrian University of Athens, Athens, GRC
| | - Leonidas Marinos
- Department of Hematopathology, Evangelismos General Hospital, National and Kapodistrian University of Athens, Athens, GRC
| | - Dimitris Liatsos
- Department of Anatomy, National and Kapodistrian University of Athens, Athens, GRC
| | | | - Dimitrios Filippou
- Department of Anatomy, National and Kapodistrian University of Athens, Athens, GRC
| | - Theodore Troupis
- Department of Anatomy, National and Kapodistrian University of Athens, Athens, GRC
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4
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Han B, Liu H, Wang H. A case of multiple nodular cutaneous B‐cell pseudolymphoma successfully treated with glucocorticoid, methotrexate, and hydroxychloroquine. Dermatol Ther 2022; 35:e15812. [DOI: 10.1111/dth.15812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Revised: 08/13/2022] [Accepted: 09/07/2022] [Indexed: 11/03/2022]
Affiliation(s)
- Bing Han
- Department of dermatology and venerology 1st hospital of Jilin University, Changchun city, Jilin province, China PRC, 130021
| | - Hesong Liu
- Department of dermatology and venerology 1st hospital of Jilin University, Changchun city, Jilin province, China PRC, 130021
| | - Hong Wang
- Department of dermatology and venerology 1st hospital of Jilin University, Changchun city, Jilin province, China PRC, 130021
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5
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Slack JC, Kurek KC, Fraulin FOG, Brundler MA. Cutaneous B-Cell Pseudolymphoma (Lymphocytoma Cutis) of the Earlobe: A Poorly Recognized Complication of Ear Piercing in Children. Fetal Pediatr Pathol 2022; 41:486-492. [PMID: 33150803 DOI: 10.1080/15513815.2020.1843573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Background: Cutaneous pseudolymphoma (CPL) refers to a group of benign, reactive processes that mimic cutaneous lymphoma and are associated with a variety of triggering immune stimuli, including arthropod bites, drugs, and foreign bodies. In children, most cases of CPL are due to a variant of Borreliosis that is specific to Eurasia. Cutaneous pseudolymphoma secondary to ear piercing has only been documented in adults. Case Reports: We present the clinical and pathological findings of cutaneous Bcell psuedolymphoma in two adolescent patients (11-year-old female and 15-year-old male) secondary to ear piercing. Conclusion: Our report expands the clinico-pathological spectrum of CPL associated with ear piercing by documenting its occurrence in children.
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Affiliation(s)
- Jonathan C Slack
- Pathology & Laboratory Medicine, Alberta Children's Hospital, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada
| | - Kyle C Kurek
- Pathology & Laboratory Medicine and Genetics, Alberta Children's Hospital, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada
| | - Frankie O G Fraulin
- Surgery, Alberta Children's Hospital, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada
| | - Marie-Anne Brundler
- Pathology & Laboratory Medicine and Pediatrics, Alberta Children's Hospital, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada
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6
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Cutaneous pseudolymphomatous drug eruption secondary to supplemental flaxseed oil. JAAD Case Rep 2022; 27:82-84. [PMID: 35990237 PMCID: PMC9388866 DOI: 10.1016/j.jdcr.2022.05.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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7
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Papadopoulou K, Falk TM, Metze D, Böer-Auer A. No evidence of Borrelia in Cutaneous Infiltrates of B-cell lymphomas with a highly sensitive, semi-nested real time Polymerase chain reaction (PCR) targeting the 5S-23S intergenic spacer region (IGS). J Eur Acad Dermatol Venereol 2022; 36:836-845. [PMID: 35171539 DOI: 10.1111/jdv.18003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Accepted: 01/18/2022] [Indexed: 11/29/2022]
Abstract
BACKROUND The role of Borrelia in the development of skin lymphomas has been under discussion for decades. A similar association has been shown for Helicobacter pylori and gastric lymphomas (MALT type). Nevertheless, few molecular studies investigated Borrelia in skin lymphomas and the results are controversial. METHODS We analysed 46 formalin-fixed, paraffin-embedded skin specimens of clincopathologically confirmed B-cell lymphomas (15 marginal zone lymphomas; 20 follicular lymphomas; 3 diffuse large B-cell lymphomas; 8 secondary cutaneous infiltrates) taken from 36 patients from Northern Germany, an endemic area for Borrelia. Fifteen pseudolymphomatous lesions of cutaneous Borreliosis served as control. Both groups were examined with a real time (rt) PCR and a semi-nested PCR targeting the 5S-23S intergenic spacer region (IGS). A multiplex PCR was used to investigate B-cell clonality in all lymphomatous infiltrates (Biomed Primers). RESULTS With both assays no B. burgdorferi-specific DNA was identified in any of the B-cell lymphomas, while all 15 Borreliosis specimens gave a positive PCR result in the semi-nested PCR protocol, 12 were also positive in the rt PCR (p<.01). All B-cell lymphomas showed monoclonal IgH-Rearrangement. Analysis of cutaneous B-cell lymphomas from available studies including ours (n=334) reveals an Odds ratio < 1. CONCLUSION While some previous studies suggested an association between B. burgdorferi and the development of cutaneous B-cell lymphomas in endemic areas, we were unable to confirm this in our patients, despite a highly sensitive Borrelia PCR assay. Our results including meta-analysis of previous studies question the need for antibiotic therapy in patients with cutaneous B-cell lymphomas.
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Affiliation(s)
- K Papadopoulou
- Dermatologikum Hamburg, Stephansplatz 5, 20354, Hamburg, Germany
| | - T M Falk
- Dermatologikum Hamburg, Stephansplatz 5, 20354, Hamburg, Germany
| | - D Metze
- Münster University, Department of Dermatology, Von-Esmarch-Strasse 58, 48149, Münster, Germany
| | - A Böer-Auer
- Dermatologikum Hamburg, Stephansplatz 5, 20354, Hamburg, Germany.,Münster University, Department of Dermatology, Von-Esmarch-Strasse 58, 48149, Münster, Germany
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8
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Feline and Canine Cutaneous Lymphocytosis: Reactive Process or Indolent Neoplastic Disease? Vet Sci 2022; 9:vetsci9010026. [PMID: 35051110 PMCID: PMC8778986 DOI: 10.3390/vetsci9010026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Revised: 01/04/2022] [Accepted: 01/10/2022] [Indexed: 02/01/2023] Open
Abstract
Cutaneous lymphocytosis (CL) is an uncommon and controversial lymphoproliferative disorder described in dogs and cats. CL is generally characterized by a heterogeneous clinical presentation and histological features that may overlap with epitheliotropic lymphoma. Therefore, its neoplastic or reactive nature is still debated. Here, we describe clinicopathological, immunohistochemical, and clonality features of a retrospective case series of 19 cats and 10 dogs with lesions histologically compatible with CL. In both species, alopecia, erythema, and scales were the most frequent clinical signs. Histologically, a dermal infiltrate of small to medium-sized lymphocytes, occasionally extending to the subcutis, was always identified. Conversely, when present, epitheliotropism was generally mild. In cats, the infiltrate was consistently CD3+; in dogs, a mixture of CD3+ and CD20+ lymphocytes was observed only in 4 cases. The infiltrate was polyclonal in all cats, while BCR and TCR clonal rearrangements were identified in dogs. Overall, cats had a long-term survival (median overall survival = 1080 days) regardless of the treatment received, while dogs showed a shorter and variable clinical course, with no evident associations with clinicopathological features. In conclusion, our results support a reactive nature of the disease in cats, associated with prolonged survival; despite a similar histological picture, canine CL is associated with a more heterogeneous lymphocytic infiltrate, clonality results, and response to treatment, implying a more challenging discrimination between CL and CEL in this species. A complete diagnostic workup and detailed follow-up information on a higher number of cases is warrant for dogs.
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Anggraeni TD, Nurdin A, Tabri F, Ilyas F. Cutaneous B-Cell Pseudolymphoma Successfully Treated with Triamcinolone Acetonide. Open Access Maced J Med Sci 2021. [DOI: 10.3889/oamjms.2021.6146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: Cutaneous pseudolymphoma (PSL) is a reactive polyclonal benign lymphoproliferative process in the skin that simulate cutaneous lymphomas clinically, histologically, or both, predominantly composed of either B-cells or T-cells, localized or disseminated. PSL clinically manifests as solitary nodules or plaque on the face. In cases where cutaneous PSL is suspected, the most crucial part is diagnosis, to differentiate benign or malignant lesion. Diagnosis required a combination of clinical, histopathological, and immunohistochemistry examination.
CASE REPORT: A 59-year-old man presented with asymptomatic erythematous plaque on her cheek for 6 months before. Histopathological examination revealed dense small lymphocytic infiltration forming lymphoid follicles with centrum germinativum that partially destructed skin appendice glands. Immunohistochemistry examination showed positive result on cluster of differentiation (CD)20 and CD3 staining. With domination of CD20 treatment: Patient was treated with intralesional injection of triamcinolone acetonide 10 mg/ml and showed satisfying result after 3 times injection.
CONCLUSION: A cutaneous B-cell PSL in a 59-year-old man was diagnosed based on history and physical, histopathological, and also immunohistochemistry examination. Intralesional injection of 10 mg/ml triamcinolone acetonide gave satisfying result.
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10
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Nakai K, Haba R, Kubota Y. Solitary Reactive Eccrine Duct Proliferation with Prominent Lymphoid Infiltrates (Pseudolymphomatous Syringoma?). Indian J Dermatol 2021; 66:225. [PMID: 34188302 PMCID: PMC8208252 DOI: 10.4103/ijd.ijd_517_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Affiliation(s)
- Kozo Nakai
- Department of Dermatology, Faculty of Medicine, Kagawa University, Takamatsu, Japan. E-mail:
| | - Reiji Haba
- Department of Diagnostic Pathology, Faculty of Medicine, Kagawa University, Takamatsu, Japan
| | - Yasuo Kubota
- Department of Dermatology, Faculty of Medicine, Kagawa University, Takamatsu, Japan. E-mail:
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11
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Chen S, Peng Y, Xia Z, Li G. Suspected phenobarbital‐induced anticonvulsant hypersensitivity syndrome in a cat. VETERINARY RECORD CASE REPORTS 2020. [DOI: 10.1136/vetreccr-2019-000992] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Siyu Chen
- College of Veterinary MedicineChina Agricultural UniversityBeijingChina
| | - Yujia Peng
- Veterinary Teaching HospitalChina Agricultural UniversityBeijingChina
| | - Zhaofei Xia
- College of Veterinary MedicineChina Agricultural UniversityBeijingChina
| | - Gebin Li
- College of Veterinary MedicineChina Agricultural UniversityBeijingChina
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12
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Santa Cruz D, Plaza JA, Wick MR, Gru AA. Inflammatory lobular hemangioma: A vascular proliferation with a prominent lymphoid component. Review of a series of 19 cases. J Cutan Pathol 2020; 48:229-236. [PMID: 32779250 DOI: 10.1111/cup.13844] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Revised: 07/27/2020] [Accepted: 08/04/2020] [Indexed: 11/26/2022]
Abstract
In the last 30 years, there has been a strong interest in vascular proliferations. Pyogenic granuloma was not only renamed lobular capillary hemangioma, but also the conceptual interpretation was also changed from an overgrowth of granulation tissue to a genuine hemangioma (or benign vascular neoplasm). We describe 19 cases of patients who presented clinically with a vascular lesion, characteristically a pyogenic granuloma or lobular hemangioma, where the histopathological findings led to the pathologic concern for a lymphoma of the skin. These benign lesions with a dense lymphoid infiltrate were further defined on the basis of different vascular and lymphoid immunohistochemical markers as inflammatory lobular hemangiomas. We propose that given the considerable histopathological overlap between acral pseudolymphomatous angiokeratoma, T-cell rich angiomatoid polypoid pseudolymphoma of the skin, and other designations of some of these vascular proliferations with a rich and dense lymphoid infiltrate, they might constitute a spectrum of vascular lesions with varying clinical presentations.
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Affiliation(s)
- Daniel Santa Cruz
- Department of Pathology, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA
| | - Jose A Plaza
- Department of Pathology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA
| | - Mark R Wick
- Department of Pathology, University of Virginia, Charlottesville, Virginia, USA
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13
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Umeda Y, Ito K, Ansai S, Hoashi T, Saeki H, Kanda N. Lupus Erythematosus Tumidus with Pseudolymphomatous Infiltrates: A Case Report. J NIPPON MED SCH 2020; 87:100-103. [PMID: 32418941 DOI: 10.1272/jnms.jnms.2020_87-208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
A 39-year-old Japanese woman presented with a pruritic infiltrated erythematous plaque on the right cheek. Histopathologic analysis of the erythema showed dermal edema, separation of collagen bundles, and nodular perivascular and periadnexal infiltration of lymphocytes in the whole dermis, without epidermal changes. Alcian blue staining intensity was elevated between the collagen bundles, indicating dermal mucinosis. The nodular infiltrates consisted of CD3+ T cell clusters and CD20+ B cell clusters (ratio, approximately 3:1) and included numerous CD123+ cells, indicative of plasmacytoid dendritic cells. Blood analysis revealed serum antinuclear antibody at a titer of 1:160 (homogeneous, speckled pattern). Lupus erythematosus tumidus with pseudolymphomatous infiltrates was diagnosed. Hydroxychloroquine treatment partially improved symptoms; however, the addition of prednisolone was required for complete resolution. Lupus erythematosus tumidus is sometimes accompanied by pseudolymphomatous infiltrates. Dermal mucinosis and the presence of numerous plasmacytoid dendritic cells are useful in differentiating lupus erythematosus tumidus from pseudolymphoma.
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Affiliation(s)
- Yuki Umeda
- Department of Dermatology, Nippon Medical School Chiba Hokusoh Hospital
| | - Keigo Ito
- Department of Dermatology, Nippon Medical School Musashi Kosugi Hospital
| | - Shinichi Ansai
- Department of Dermatology, Nippon Medical School Musashi Kosugi Hospital
| | | | | | - Naoko Kanda
- Department of Dermatology, Nippon Medical School Chiba Hokusoh Hospital
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14
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Zeng SH, Chen SY, Tang XY, Wang L. A case of cutaneous pseudolymphoma with a distinctive appearance treated successfully by intralesional interferon alpha-1b and corticosteroids. Dermatol Ther 2020; 33:e13410. [PMID: 32298538 DOI: 10.1111/dth.13410] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2020] [Revised: 04/07/2020] [Accepted: 04/09/2020] [Indexed: 02/05/2023]
Abstract
Cutaneous pseudolymphoma (CPL) encompasses various forms of benign lymphocytic proliferative dermatoses that mimic the clinical and/or pathological changes of lymphoma. The clinical manifestations of CPL vary due to differences in the pathogenesis, and accordingly, no specific treatment has been identified. Here, we report a case of CPL on the nose, which had a distinctive appearance and was treated successfully using a combination of intralesional interferon alpha-1b and compound betamethasone (betamethasone sodium phosphate and betamethasone dipropionate). This combination may be a good option for localized CPLs at particular anatomical sites.
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Affiliation(s)
- Shi-Hua Zeng
- Department of Dermatology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.,Department of Dermatology, Chengdu Second People's Hospital, Chengdu, Sichuan, China
| | - Si-Yu Chen
- Department of Dermatology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Xin-Yue Tang
- Department of Dermatology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Lin Wang
- Department of Dermatology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
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15
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Ayoubi N, Haque A, Vera N, Ma S, Messina J, Khushalani N, Seminario-Vidal L. Ipilimumab/nivolumab-induced pseudolymphoma in a patient with malignant melanoma. J Cutan Pathol 2020; 47:390-393. [PMID: 31677178 DOI: 10.1111/cup.13604] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2019] [Revised: 10/05/2019] [Accepted: 10/27/2019] [Indexed: 12/31/2022]
Abstract
Combination therapy with ipilimumab and nivolumab is an adjuvant treatment approach for metastatic melanoma that boasts increased 3-year survival when compared with a single immunotherapy agent. Combination therapy, however, is associated with increased toxicities, especially cutaneous side-effects. Here we present a patient with metastatic melanoma and a sudden eruption of painful nodules on the face and arms 10 days after the administration of the fourth dose of combination ipilimumab/nivolumab. Biopsies demonstrated lymphoid hyperplasia, not clinically or pathologically consistent with an infectious, malignant or autoimmune etiology; a diagnosis of pseudolymphoma secondary to ipilimumab/nivolumab was made. After a steroid taper, the lesions resolved, and the patient was restarted on nivolumab monotherapy 2 weeks later without recurrence of symptoms or disease.
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Affiliation(s)
- Noura Ayoubi
- Morsani College of Medicine, University of South Florida, Tampa, Florida
| | - Adel Haque
- Department of Dermatology and Cutaneous Surgery, University of South Florida, Tampa, Florida
| | - Nora Vera
- Department of Dermatology and Cutaneous Surgery, University of South Florida, Tampa, Florida
| | - Sophia Ma
- Department of Dermatology, Pathology and Cell Biology, University of South Florida, Tampa, Florida
| | - Jane Messina
- Cutaneous Oncology Program, H. Lee Moffitt Cancer and Research Center, Tampa, Florida
| | - Nikhil Khushalani
- Cutaneous Oncology Program, H. Lee Moffitt Cancer and Research Center, Tampa, Florida
| | - Lucia Seminario-Vidal
- Department of Dermatology and Cutaneous Surgery, University of South Florida, Tampa, Florida
- Cutaneous Oncology Program, H. Lee Moffitt Cancer and Research Center, Tampa, Florida
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16
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Bush AE, Garcia A, Li J, Curry J, Chon SY. CD30 + lymphomatoid skin toxicity secondary to ipilimumab. JAAD Case Rep 2020; 6:251-253. [PMID: 32211493 PMCID: PMC7082605 DOI: 10.1016/j.jdcr.2016.07.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Affiliation(s)
- Amelia E Bush
- University of Texas Medical School at Houston, Houston, Texas
| | - Andres Garcia
- University of Texas Medical School at Houston, Houston, Texas
| | - Janet Li
- Department of Dermatology, University of Texas at Houston, Houston, Texas
| | - Jonathan Curry
- Department of Pathology and Dermatology, MD Anderson of Houston, Houston, Texas
| | - Susan Y Chon
- Department of Pathology and Dermatology, MD Anderson of Houston, Houston, Texas.,Department of Dermatology, Houston, Texas
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Affiliation(s)
- Linghong Linda Zhou
- Faculty of Medicine (Zhou), University of Ottawa, Ottawa, Ont.; Division of Dermatology (Mistry), Department of Medicine, University of Toronto, Toronto, Ont.
| | - Nisha Mistry
- Faculty of Medicine (Zhou), University of Ottawa, Ottawa, Ont.; Division of Dermatology (Mistry), Department of Medicine, University of Toronto, Toronto, Ont
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18
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Kendel M, Toncic RJ, Bradamante M, Ilic I, Loncaric D, Rados J, Drvar DL. Dermoscopy of a Tattoo Pseudolymphoma. Dermatol Pract Concept 2019; 9:17-19. [PMID: 30775141 PMCID: PMC6368077 DOI: 10.5826/dpc.0901a04] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Affiliation(s)
- Mateja Kendel
- Department of Dermatology and Venereology, County Hospital Cakovec, Croatia
| | - Ruzica Jurakic Toncic
- University Department of Dermatology and Venerology, University Hospital Centre Zagreb, University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Mirna Bradamante
- University Department of Dermatology and Venerology, University Hospital Centre Zagreb, University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Ivana Ilic
- University Hospital Centre Zagreb, Department of Pathology and Cytology, Zagreb, Croatia
| | - Davorin Loncaric
- University Department of Dermatology and Venerology, University Hospital Centre Zagreb, University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Jaka Rados
- University Department of Dermatology and Venerology, University Hospital Centre Zagreb, University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Daniela Ledic Drvar
- University Department of Dermatology and Venerology, University Hospital Centre Zagreb, University of Zagreb, School of Medicine, Zagreb, Croatia
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Kendel M, Jurakic Toncic R, Bradamante M, Ilic I, Loncaric D, Rados J, Ledic Drvar D. Dermoscopy of a tattoo pseudolymphoma. Dermatol Pract Concept 2019. [DOI: 10.5826/0901a04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Affiliation(s)
- Mateja Kendel
- Department of Dermatology and Venereology, County Hospital Cakovec, Croatia
| | - Ruzicka Jurakic Toncic
- University Department of Dermatology and Venerology, University Hospital Centre Zagreb, University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Mirna Bradamante
- University Department of Dermatology and Venerology, University Hospital Centre Zagreb, University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Ivana Ilic
- University Hospital Centre Zagreb, Department of Pathology and Cytology, Zagreb, Croatia
| | - Davorin Loncaric
- University Department of Dermatology and Venerology, University Hospital Centre Zagreb, University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Jaka Rados
- University Department of Dermatology and Venerology, University Hospital Centre Zagreb, University of Zagreb, School of Medicine, Zagreb, Croatia
| | - Daniela Ledic Drvar
- University Department of Dermatology and Venerology, University Hospital Centre Zagreb, University of Zagreb, School of Medicine, Zagreb, Croatia
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Tian Z, Shiyu Z, Tao W, Li L, Yuehua L, Hongzhong J. Lymphoma or pseudolymphoma: A report of six cases and review of the literature. Dermatol Ther 2019; 32:e12807. [PMID: 30589489 DOI: 10.1111/dth.12807] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2018] [Revised: 12/11/2018] [Accepted: 12/25/2018] [Indexed: 02/07/2023]
Abstract
To explore and compare the clinical presentations and pathologic features of cutaneous pseudolymphomas (CPL) with primary cutaneous lymphomas. Review literature in order to improve the treatment of CPL. Six cases of CPLs were collected. The clinical, pathologic, and immunohistochemical features were performed and analyzed in Peking Union Medical College Hospital in 2018. Of six patients, the distributions and clinical manifestations of skin lesions are varied. The pathologic features consisted of atypical prominent lymphocytes infiltration. Of them, two cases imitated mycosis fungoides, one case mimicked primary cutaneous aggressive pidermotropic CD8+ cytotoxic T-cell lymphoma, one case was diagnosed as Jessner-Kanof lymphocyte infiltration and two cases primary cutaneous CD4+ small/medium T-cell lymphoproliferative disorder. With respect to etiology, one was result from insects bite and the others were on account of drugs. All cases were treated with systemic or local glucocorticoid. The skin lesions and systemic symptoms showed notable improvement after treatment. Follow-up visits were 2 years, half a year, and months, respectively, without relapse. These unique types of CPL were similar to cutaneous lymphomas in clinical manifestation and pathology. They were all sensitive to the treatment of externally or orally using glucocorticoid. The prognosis is generally good but needs long-term follow-up.
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Affiliation(s)
- Zhu Tian
- Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Zhang Shiyu
- Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Wang Tao
- Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Li Li
- Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Liu Yuehua
- Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Jin Hongzhong
- Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
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Lee M, Kim J, Kim DY. Cutaneous Pseudolymphoma Derived from Ruptured Milia. Ann Dermatol 2018; 30:725-727. [PMID: 33911516 PMCID: PMC7992443 DOI: 10.5021/ad.2018.30.6.725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Accepted: 12/14/2017] [Indexed: 12/04/2022] Open
Affiliation(s)
- Minseok Lee
- Department of Dermatology, Severance Hospital, Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea
| | - Jemin Kim
- Department of Dermatology, Severance Hospital, Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea
| | - Do Young Kim
- Department of Dermatology, Severance Hospital, Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea
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Hirudotherapy - a rare cause of pseudolymphoma. Postepy Dermatol Alergol 2018; 35:225-226. [PMID: 29760628 PMCID: PMC5949557 DOI: 10.5114/ada.2018.75250] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2017] [Accepted: 04/21/2017] [Indexed: 11/17/2022] Open
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Malki S, Onnis G, Lissia A, Montesu MA, Satta R. Cutaneous T pseudolymphoma on the red pigmented areas of a tattoo. Int J Dermatol 2017; 56:e172-e173. [DOI: 10.1111/ijd.13659] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2016] [Revised: 04/14/2017] [Accepted: 04/19/2017] [Indexed: 12/11/2022]
Affiliation(s)
- Simon Malki
- Department of Surgical, Microsurgical and Medical Sciences, Dermatology; University of Sassari; Sassari Italy
| | - Giuliana Onnis
- Department of Surgical, Microsurgical and Medical Sciences, Dermatology; University of Sassari; Sassari Italy
| | - Amelia Lissia
- Department of Surgical, Microsurgical and Medical Sciences, Pathological Anatomy; University of Sassari; Sassari Italy
| | - Maria A. Montesu
- Department of Surgical, Microsurgical and Medical Sciences, Dermatology; University of Sassari; Sassari Italy
| | - Rosanna Satta
- Department of Surgical, Microsurgical and Medical Sciences, Dermatology; University of Sassari; Sassari Italy
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Tomasini C, Moneghini L, Barbui AM. Chronic amastigote-negative cutaneous leishmaniasis: A clinical, histopathologic and molecular study of 27 cases with emphasis on atypical and pseudolymphomatous presentations. J Cutan Pathol 2017; 44:530-537. [DOI: 10.1111/cup.12927] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2017] [Revised: 02/23/2017] [Accepted: 03/01/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Carlo Tomasini
- Dermatopathology Unit; Azienda Ospedaliero-Universitaria Città della Salute e della Scienza; Turin Italy
| | - Laura Moneghini
- Division of Pathology, Department of Health Sciences; University of Milan, Hospital San Paolo; Milan Italy
| | - Anna M. Barbui
- Microbiology and Virology Unit; Azienda Ospedaliero Universitaria Città della Salute e della Scienza; Turin Italy
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Gru AA, Hurley MY, Salavaggione AL, Brodell L, Sheinbein D, Anadkat M, Porcu P, Frater JL. Cutaneous mantle cell lymphoma: a clinicopathologic review of 10 cases. J Cutan Pathol 2016; 43:1112-1120. [PMID: 27539965 DOI: 10.1111/cup.12802] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2016] [Revised: 06/10/2016] [Accepted: 08/08/2016] [Indexed: 01/10/2023]
Abstract
Cutaneous mantle cell lymphoma (MCL) is exceedingly rare, almost always occurring as a dissemination of systemic MCL. To date, only 32 cases have been described. We report a series of 10 cases of MCL in the skin, and provide a comprehensive clinicopathologic review with clinical follow-up. Our cases occurred in older individuals (mean age = 70) and were more frequently in men (90%). Half of them presented in the head and neck region as a mass/nodule, and the remainder in the trunk and extremities as nodules. All patients have stage IV disease. In two of the 10 cases (20%) the cutaneous lesions preceded the diagnosis of disseminated disease. In two of the seven cases with available clinical follow-up information (33%) the skin was immediately involved after the diagnosis of MCL, and in three of the seven the skin was the first site of recurrence (mean interval = 57 months). The mean time to recurrence of the disease was 45.4 months and the overall survival was 66.3 months. Histologically six out of 10 cases (60%) had either pleomorphic or blastoid morphology (four out of 10 and two out of 10, respectively). The mean number of mitoses per 10 high-power fields was 18.44. While nine out of 10 cases expressed cyclin-D1, one case was not positive for cyclin-D1 but did label with SOX-11. Limited cytogenetic data showed trisomy 14 in one case, in addition to the t(11;14) translocation.
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Affiliation(s)
- Alejandro A Gru
- Department of Pathology, Divisions of Dermatopathology and Hematopathology, University of Virginia, Charlottesville, VA, USA.,Department of Dermatology, Divisions of Dermatopathology and Hematopathology, University of Virginia, Charlottesville, VA, USA
| | - M Yadira Hurley
- Department of Dermatology, Saint Louis University, St. Louis, MO, USA
| | | | - Lindsey Brodell
- Department of Dermatology, University of Rochester, Rochester, NY, USA
| | - David Sheinbein
- Department of Internal Medicine, Division of Dermatology, Washington University, School of Medicine, St. Louis, MO, USA
| | - Milan Anadkat
- Department of Internal Medicine, Division of Dermatology, Washington University, School of Medicine, St. Louis, MO, USA
| | - Pierluigi Porcu
- Division of Hematology, The Ohio State Wexner Medical Center, Columbus, OH, USA
| | - John L Frater
- Department of Pathology & Immunology, Hematopathology Section, Washington University, St. Louis, MO, USA
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Romero-Pérez D, Blanes Martínez M, Encabo-Durán B. Cutaneous Pseudolymphomas. ACTAS DERMO-SIFILIOGRAFICAS 2016; 107:640-51. [PMID: 27289134 DOI: 10.1016/j.ad.2016.05.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2015] [Revised: 04/16/2016] [Accepted: 05/01/2016] [Indexed: 11/19/2022] Open
Abstract
The term cutaneous pseudolymphoma refers to benign reactive lymphoid proliferations in the skin that simulate cutaneous lymphomas. It is a purely descriptive term that encompasses various reactive conditions with a varied etiology, pathogenesis, clinical presentation, histology, and behavior. We present a review of the different types of cutaneous pseudolymphoma. To reach a correct diagnosis, it is necessary to contrast clinical, histologic, immunophenotypic, and molecular findings. Even with these data, in some cases only the clinical course will confirm the diagnosis, making follow-up essential.
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Affiliation(s)
- D Romero-Pérez
- Servicio de Dermatología, Hospital General Universitario de Alicante, Alicante, España
| | - M Blanes Martínez
- Servicio de Dermatología, Hospital General Universitario de Alicante, Alicante, España.
| | - B Encabo-Durán
- Servicio de Dermatología, Hospital General Universitario de Alicante, Alicante, España
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Shetty SK, Hegde U, Jagadish L, Shetty C. Pseudolymphoma versus lymphoma: An important diagnostic decision. J Oral Maxillofac Pathol 2016; 20:328. [PMID: 27601833 PMCID: PMC4989571 DOI: 10.4103/0973-029x.185909] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2015] [Accepted: 05/28/2016] [Indexed: 11/04/2022] Open
Abstract
Small innocuous growths on the face usually do not pose difficulty in diagnosis on histopathology. However, some benign inflammatory lesions might mimic malignancy and hence need further investigations for final diagnosis. The distinction between a benign/inflammatory/malignant lesion needs no emphasis as the treatment plan, prognosis and the patient's well-being depends on it. Lymphocytoma cutis, or Spiegler-Fendt Sarcoid, is classed as one of the pseudolymphomas, referring to inflammatory disorders in which the accumulation of lymphocytes on the skin resembles, clinically and histopathologically, cutaneous lymphomas. To obtain an accurate diagnosis, careful clinical evaluation, as well as histopathological and immunohistochemical examination is needed. One such case of an otherwise unassuming growth mimicking malignancy is being presented.
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Affiliation(s)
- Sujeeth Kumar Shetty
- Department of Oral and Maxillo Facial Surgery, JSS Dental College and Hospital, Mysuru, Karnataka, India
| | - Usha Hegde
- Department of Oral Pathology and Microbiology, JSS Dental College and Hospital, Mysuru, Karnataka, India
| | - Leka Jagadish
- Department of Periodontics, Azamgarh Dental College and Hospital, Azamgarh, Uttar Pradesh, India
| | - Charitra Shetty
- Department of Conservative Dentistry and Endodontics, Farooqia Dental College, Mysuru, Karnataka, India
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Santesteban Muruzábal R, Mitxelena Ezeiza J, Córdoba Iturriagagoitia A, Yanguas Bayona I. [Cutaneous CD8+ T-cell lymphoma. Regression after HIV antiviral triple therapy]. Med Clin (Barc) 2015; 145:e33-4. [PMID: 25865613 DOI: 10.1016/j.medcli.2015.02.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2015] [Revised: 02/25/2015] [Accepted: 02/26/2015] [Indexed: 10/23/2022]
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Riyaz N, Sasidharanpillai S, Aravindan KP, Nobin BK, Raghavan NT, Nikhila PK. Phenytoin Induced Cutaneous B Cell Pseudolymphoma. Indian J Dermatol 2015; 60:522. [PMID: 26538730 PMCID: PMC4601451 DOI: 10.4103/0019-5154.164437] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Cutaneous pseudolymphomas are benign lymphoproliferative processes mimicking lymphomas clinically and histologically. One of the precipitating factors for pseudolymphoma is drugs like anticonvulsants, antidepressants and angiotensin-converting enzyme inhibitors. According to existing literature phenytoin-induced cutaneous pseudolymphomas are usually T-cell predominant. Most often withdrawal of the drug with or without short-course systemic steroids can attain a cure. Rarely malignant transformation has been reported years later despite withdrawal of the offending drug, which necessitates a long-term follow up of the affected. We report an 80-year-old male patient who was receiving phenytoin sodium and who presented with diffuse erythema and infiltrated skin lesions which histologically resembled cutaneous B-cell lymphoma. Substituting phenytoin with levetiracetam achieved resolution of symptoms. Further evaluation was suggestive of a reactive process. A detailed drug history is of paramount importance in differentiating drug-induced pseudolymphoma from lymphoma. Searching literature we could not find any previous reports of phenytoin-induced cutaneous B-cell pseudolymphoma.
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Affiliation(s)
- Najeeba Riyaz
- Department of Dermatology and Venereology, Govt Medical College, Kozhikode, Kerala, India
| | | | | | - Babu K Nobin
- Department of Pathology, Govt Medical College, Kozhikode, Kerala, India
| | - Nisha T Raghavan
- Department of Pathology, Govt Medical College, Kozhikode, Kerala, India
| | - Pappinissery K Nikhila
- Department of Dermatology and Venereology, Govt Medical College, Kozhikode, Kerala, India
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32
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Foley C, Leonard N, Wynne B. Cutaneous pseudolymphoma: A rare side effect of cyclosporine. J Am Acad Dermatol 2015; 72:e85-6. [DOI: 10.1016/j.jaad.2014.09.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2013] [Revised: 08/19/2014] [Accepted: 09/02/2014] [Indexed: 11/28/2022]
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Abstract
The immune system protects our organism and, of course, our skin from harmful factors. One of the key elements of the immune system is lymphocytes. Lymphocytes play a role in the pathogenesis of various skin diseases. Lymphocytic infiltrates are seen in many skin diseases. Some of the skin diseases characterized by lymphocytic infiltration show up in specific anatomic locations, whereas other entities can be placed in all areas of the body. The course of lymphocytic infiltrations of the face is variable and unpredictable, most often lasting from months to years. The most important diseases with lymphocytic infiltration of the face are pseudolymphomas. This review discusses various types of cutaneous pseudolymphomas and other diseases with lymphocytic infiltration mainly involving the face.
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Affiliation(s)
- Burhan Engin
- Cerrahpaşa Medical Faculty, Department of Dermatology, İstanbul University, Fatih, İstanbul 34098, Turkey.
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Ally MS, Robson A. A review of the solitary cutaneous T-cell lymphomas. J Cutan Pathol 2014; 41:703-14. [DOI: 10.1111/cup.12353] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2013] [Revised: 11/20/2013] [Accepted: 12/16/2013] [Indexed: 12/30/2022]
Affiliation(s)
- Mina S. Ally
- Department of Dermatology; Stanford University School of Medicine; Redwood City CA USA
| | - Alistair Robson
- St. John's Institute of Dermatology; St. Thomas' Hospital; London UK
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35
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Camargo CMDS, Bomm L, Abraham LS, Daher R, Scotelaro MDFG, Abulafia LA. Primary cutaneous centrofollicular lymphoma with a good response to radiotherapy. An Bras Dermatol 2013; 88:136-8. [PMID: 24346901 PMCID: PMC3875978 DOI: 10.1590/abd1806-4841.20132427] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2013] [Accepted: 01/29/2013] [Indexed: 12/31/2022] Open
Abstract
Primary cutaneous lymphomas have different clinical behavior and prognosis than systemic lymphomas of similar histological subtype. About 30% of non-Hodgkin lymphomas involve extranodal tissues, the skin being the second most affected body organ after the gastrointestinal tract (approximately 18%). According to the EORTC (European Organization for Research and Treatment of Cancer) classification, the lymphoma centrofollicular is indolent, since the lesions increase in size slowly over the years and spread to extracutaneous sites is uncommon. Based on this, radiotherapy has been considered the treatment of choice by many studies. We present the case of a patient who had cutaneous centrofollicular scalp lymphoma for 1 year and showed good response to radiotherapy.
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Affiliation(s)
| | | | | | - Rafael Daher
- Universidade do Estado do Rio de Janeiro, Hospital Universitário Pedro Ernesto, Radiotherapy Service, Rio de JaneiroRJ, Brazil
| | | | - Luna Azulay Abulafia
- Universidade do Estado do Rio de Janeiro, Hospital Universitário Pedro Ernesto, Dermatology Department, Rio de JaneiroRJ, Brazil
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Story SK, Schowalter MK, Geskin LJ. Breast implant-associated ALCL: a unique entity in the spectrum of CD30+ lymphoproliferative disorders. Oncologist 2013; 18:301-7. [PMID: 23429741 DOI: 10.1634/theoncologist.2012-0238] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
CD30(+) lymphoproliferative disorders represent a spectrum of diseases with distinct clinical phenotypes ranging from reactive conditions to aggressive systemic anaplastic lymphoma kinase (ALK)(-) anaplastic large cell lymphoma (ALCL). In January 2011, the U.S. Food and Drug Administration (FDA) announced a possible association between breast implants and ALCL, which was likened to systemic ALCL and treated accordingly. We analyzed existing data to see if implant-associated ALCL (iALCL) may represent a distinct entity, different from aggressive ALCL. We conducted a systematic review of publications regarding ALCL and breast implantation for 1990-2012 and contacted corresponding authors to obtain long-term follow-up where available. We identified 44 unique cases of iALCL, the majority of which were associated with seroma, had an ALK(-) phenotype (97%), and had a good prognosis, different from the expected 40% 5-year survival rate of patients with ALK(-) nodal ALCL (one case remitted spontaneously following implant removal; only two deaths have been reported to the FDA or in the scientific literature since 1990). The majority of these patients received cyclophosphamide, doxorubicin, vincristine, and prednisolone with or without radiation, but radiation alone also resulted in complete clinical responses. It appears that iALCL demonstrates a strong association with breast implants, a waxing and waning course, and an overall good prognosis, with morphology, cytokine profile, and biological behavior similar to those of primary cutaneous ALCL. Taken together, these data are suggestive that iALCL may start as a reactive process with the potential to progress and acquire an aggressive phenotype typical of its systemic counterpart. A larger analysis and prospective evaluation and follow-up of iALCL patients are necessary to definitively resolve the issue of the natural course of the disease and best therapeutic approaches for these patients.
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Affiliation(s)
- Sara K Story
- University of Pittsburgh Department of Dermatology, Pittsburgh, Pennsylvania 15213, USA
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Le pseudolymphome cutané : une sémantique ambiguë. Enquête auprès des dermatologues et des pathologistes. Ann Dermatol Venereol 2013; 140:105-11. [DOI: 10.1016/j.annder.2012.10.600] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2012] [Revised: 08/15/2012] [Accepted: 10/31/2012] [Indexed: 10/27/2022]
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38
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Foessel L, Bretz-Grenier MF, Weingertner N, Mathelin C. Borrelial lymphocytoma of the breast areola in a 52-year old man: An uncommon manifestation of Lyme disease. Diagn Interv Imaging 2013; 94:104-7. [DOI: 10.1016/j.diii.2012.09.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Ally MS, Pawade J, Tanaka M, Morris S, Mitchell T, Child F, Wain M, Whittaker S, Robson A. Solitary mycosis fungoides: A distinct clinicopathologic entity with a good prognosis. J Am Acad Dermatol 2012; 67:736-44. [DOI: 10.1016/j.jaad.2012.02.039] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2011] [Revised: 02/21/2012] [Accepted: 02/24/2012] [Indexed: 10/28/2022]
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40
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Bessell EM, Humber CE, O'Connor S, English JSE, Perkins W, Dickinson PD, Patel AN. Primary cutaneous B-cell lymphoma in Nottinghamshire U.K.: prognosis of subtypes defined in the WHO-EORTC classification. Br J Dermatol 2012; 167:1118-23. [PMID: 22759204 DOI: 10.1111/j.1365-2133.2012.11122.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Primary cutaneous B-cell lymphomas (PCBCL), with the exception of large B-cell lymphoma of leg type and intravascular large B-cell lymphoma, are associated with an excellent prognosis. These lymphomas have become much better understood in recent years leading to the publication in 2005 of the World Health Organization-European Organisation for Research and Treatment of Cancer classification. OBJECTIVES To determine the relative frequency of occurrence of subtypes of PCBCL in a defined population, and the survival of patients with these subtypes. METHODS During the period 1987-2009, 61 consecutive patients with PCBCL were identified from the Nottingham Lymphoma Registry (population 1·1 million). After histological review, the number of patients with each subtype was as follows: marginal zone, 18; follicle centre, 14; diffuse large B cell, leg type, 16; diffuse large B cell, other sites, 12; and intravascular large B cell, one. RESULTS The 5- and 10-year lymphoma-specific survival for patients with marginal zone lymphoma was 100%. The only patient with intravascular large B-cell lymphoma died from widespread disease in spite of chemotherapy. The 4-year lymphoma-specific survival for follicle centre cell lymphoma was 90%. Patients with the other subtypes had the following 5-year lymphoma-specific survival rates: diffuse large B cell, leg type, 61% and diffuse large B cell, other, 40%. The median age at diagnosis for patients with diffuse large B-cell lymphoma, leg type was 82 years and as a consequence the 5-year overall survival was only 15%. There was a 3·4-fold increase in the incidence of PCBCL from the period 1987-1997 to the period 1998-2009. CONCLUSIONS PCBCL is a rare disease (incidence around three per million population per year). It is, in our view, essential that it is diagnosed by a pathologist with an interest in cutaneous lymphoma and that the very different prognosis of the individual subtypes is appreciated by the treating clinician.
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Affiliation(s)
- E M Bessell
- Departments of Clinical Oncology and Histopathology, Nottingham University Hospitals NHS Trust, Nottingham City Hospital, Hucknall Road, Nottingham NG5 1PB, U.K
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Fernández-Morano T, Aguilar-Bernier M, del Boz J, Fúnez-Liébana R. Infiltración cutánea por linfocitos T CD8+ asociada a virus de la inmunodeficiencia humana. ACTAS DERMO-SIFILIOGRAFICAS 2012; 103:638-40. [DOI: 10.1016/j.ad.2011.08.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2011] [Revised: 07/10/2011] [Accepted: 08/27/2011] [Indexed: 11/29/2022] Open
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43
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Wortsman X, Wortsman J, Matsuoka L, Saavedra T, Mardones F, Saavedra D, Guerrero R, Corredoira Y. Sonography in pathologies of scalp and hair. Br J Radiol 2012; 85:647-55. [PMID: 22253348 DOI: 10.1259/bjr/22636640] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Disorders of the scalp often result in severe cosmetic interference with quality of life, creating the need for optimal medical surveillance. We tested the latest generation of ultrasound machines in patients with scalp pathology and prepared a cross-sectional library encompassing a wide assortment of conditions. Normative data on the sonographic anatomy of scalp and human hair, and important methodological considerations, are also included.
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Affiliation(s)
- X Wortsman
- Department of Radiology, Clinica Servet, Faculty of Medicine, University of Chile, Santiago, Chile.
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Sears KP, Divers TJ, Neff RT, Miller WH, McDonough SP. A case of Borrelia-associated cutaneous pseudolymphoma in a horse. Vet Dermatol 2011; 23:153-6. [PMID: 22029872 DOI: 10.1111/j.1365-3164.2011.01013.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
This case report describes a 10-year-old horse that developed multiple dermal papules over the right masseter area following removal of a tick from the same site 3 months earlier. Histological examination of a biopsy from a papule was suggestive of either a T-cell-rich B-cell lymphoma or cutaneous lymphoid hyperplasia, a form of pseudolymphoma sometimes associated with a tick bite. Positive serological testing and PCR of the biopsy sample for Borrelia in conjunction with immunohistochemical testing of the skin biopsy, the clinical history and response to treatment with doxycycline strongly supported the diagnosis of Borrelia-associated cutaneous pseudolymphoma.
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Affiliation(s)
- Kelly P Sears
- Fairfield Equine Associates, 32 Bamabas Road, Newtown, CT 06470, USA
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Bibliography. Lymphoma. Current world literature. Curr Opin Oncol 2011; 23:537-41. [PMID: 21836468 DOI: 10.1097/cco.0b013e32834b18ec] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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McElroy MK, Kulidjian AA, Sumit R, Weidner N. Benign lymphoid hyperplasia (pseudolymphoma) of soft tissue. Hum Pathol 2011; 42:1813-8. [PMID: 21663938 DOI: 10.1016/j.humpath.2011.02.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/09/2010] [Revised: 01/25/2011] [Accepted: 02/03/2011] [Indexed: 12/01/2022]
Abstract
Benign lymphoid hyperplasia (pseudolymphoma) has been reported in the skin, lungs, orbit, and gastrointestinal tract, but only rarely in soft tissues. These lesions mimic lymphoma both clinically and histologically. We describe a case of a pseudolymphoma of the deep soft tissues of the lower extremity. The lesion was composed of nonencapsulated lymphoid tissue with involvement of adjacent fat and connective tissues and multiple variably sized well-polarized germinal centers. Immunohistochemical staining, flow cytometry, chromogenic in situ hybridization for κ/λ light-chain restriction, and polymerase chain reaction for T- and B-cell gene rearrangements all revealed a polyclonal population of T and B cells, consistent with a benign reactive process. So far as we know, pseudolymphoma of the deep soft tissues has been described only once previously in the medical literature.
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Affiliation(s)
- Michele K McElroy
- Department of Pathology, University of California San Diego, San Diego, CA 92103-8720, USA
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