학술논문

Lymphomatoid papulosis types D and E: a multicentre series of the French Cutaneous Lymphomas Study Group.
Document Type
Article
Source
Clinical & Experimental Dermatology. Dec2021, Vol. 46 Issue 8, p1441-1451. 11p. 2 Color Photographs, 2 Charts, 3 Graphs.
Subject
*LYMPHOMAS
*HISTOPATHOLOGY
*DIAGNOSIS
*CYTOLOGY
*NECROSIS
Language
ISSN
0307-6938
Abstract
Summary: Background: Lymphomatoid papulosis (LyP) type D (LyP D) and type E (LyP E) have recently been described in small series of cases or isolated case reports. Aim: To further describe the clinical and histological features of LyP D and E based on a retrospective multicentre study. Methods: The clinical and histopathological features of 29 patients with an initial diagnosis of LyP D or LyP E were retrospectively assessed using standardized forms. Results: After exclusion of 5 cases, 24 patients (14 LyP D, 10 LyP E) were enrolled in the study. The median follow‐up was 2.5 years (range 1 month to 13 years). LyP D was characterized by multiple recurrent self‐regressing small papules that developed central erosion or necrosis, whereas LyP E presented as papulonodular lesions that rapidly evolved into necrotic eschar‐like lesions > 10 mm in size. Epidermal changes were more frequent in LyP D, whereas dermal infiltrates were deeper in LyP E. Anaplastic cytology was rare and the DUSP22 rearrangement was never observed. Two patients (8%) had an associated cutaneous lymphoma. Conclusion: LyP D and E have distinct clinical findings and may be associated with other cutaneous lymphomas. [ABSTRACT FROM AUTHOR]