Journal List > Korean J Hematol > v.40(2) > 1032615

Choi, Lee, Kang, Jang, Park, Choi, Lim, Kim, and Lee: A Case of Lymphomatoid Papulosis after Allogenic Bone Marrow Transplatation

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.

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Fig. 1.
Discrete erythematous papules of lymphomatoid papulosis on patients on patient's right forearm.
kjh-40-111f1.tif
Fig. 2.
Multiple erythematous papules with hyperpigmented patches on patient's right forearm.
kjh-40-111f2.tif
Fig. 3.
The biopsy of the papule on the patient's forearm shows perivascular and dense dermal atypical mononuclear cellular infiltrations (H&E stain × 200).
kjh-40-111f3.tif
Fig. 4.
C D30 (Ki-1) positive findings in the dermis (Immunohistochemical stain, × 100).
kjh-40-111f4.tif
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