Abstract
A twenty-year-old man developed pruritic papules on his right forearm on the 25th day after an allogeneic bone marrow transplantation from an HLA-matched related donor. The skin lesion turned out to be lymphomatoid papulosis, both histologically and immunophenotypically, not a GVHD skin lesion. Lymphomatoid papulosis is a chronic lymphoproliferative disease of the skin, characterized by recurrent crusts of pruritic papules, which initially appearing on the upper trunk and both extremities. The lesions heal spontaneously within 2~8 weeks, usually leaving slightly depressed oval scars. Histologically, the lesions show wedge-shaped dense dermal infiltrates of lymphoid cells, with numerous eosinophils, neutrophils and atypical lymphocytes. As much as 50% of the infiltrates show atypical lymphocytes, and the dermal vessels may show endothelial swelling, fibrin deposition and red blood cell extravasation. We are reporting a case of spontaneously healing CD56+ lymphomatoid papulosis, in the patient who received bone marrow transplantation, is reported.
REFERENCES
1). Macaulay WL. Lymphomatoid papulosis. A continuing self-healing eruption, clinically benign histologically malignant. Arch Dermatol. 1968; 97:23–30.
3). Orchard GE. Lymphomatoid papulosis: a lowgrade T-cell lymphoma? Br J Biomed Sci. 1996; 53:162–9.
4). Wood GS, Strickler JC Deneau DG, Egbert B, Wamke RA. Lymphomatoid papulosis expresses immunophenotypes associated with T cell lymphoma but not inflammation. J Am Acad Dermatol. 1986; 15:444–58.
5). Kerl H, Ackerman AB. Inflammatory diseases that simulate lymphoma: cutaneous pseudolymphomas. Fitzpatrick TB, Eisen AZ, Wolff K, editors. Dermatology in general medicine. 4th ed.New York: McGraw-Hill-Book;2006. p. 1315–27.
7). Willemze R, Beljaards RC. Spectrum of primary cutaneous CD30 (Ki-1)-positive lymphoproliferative disorders. A proposal for classification and guidelines for management and treatment. J Am Acad Dermatol. 1993; 28:973–80.
8). Kadin ME. Lymphomatoid papulosis and associated lymphoma. How are they related? Arch Dermatol. 1993; 129:351–3.
9). Weinman VF, Ackerman AB. Lymphomatoid papulosis. A critical review and new findings. Am J Dermatopathol. 1981; 3:129–63.
10). Wang HH, Lach L, Kadin ME. Epidermiology of lymphomatoid papulosis. Cancer. 1992; 70:2951–7.
11). Brehmer-Andersson E. Lymphomatoid papulosis. A concept which encompasses more than one disease process. Am J Dermatopathol. 1981; 3:169–74.
12). Shamsuddin AK, Nedwich A, Toker C. Lymphomatoid papulosis. Ultrastructural study with demonstration of intranuclear and intracytoplasmic virus-like particles. Dermatologica. 1980; 161:238–42.
13). Willemze R, Meyer CJ, Van Vloten WA, Scheffer E. The clinical and histological spectrum of lymphomatoid papulosis. Br J Dermatol. 1982; 107:131–44.
14). Basarab T, Fraser-Andrews EA, Orchard G, Whittaker S, Russell-Jones R. Lymphomatoid papulosis in association with mycosis fungoides: a study of 15 cases. Br J Dermatol. 1998; 139:630–8.