A Rare Case of Primary Cutaneous CD4+ Small/Medium Size T-Cell Lymphoproliferative Disorder Responding to Rituximab.

IF 0.9 Q4 DERMATOLOGY
Case Reports in Dermatology Pub Date : 2025-04-17 eCollection Date: 2025-01-01 DOI:10.1159/000545747
Saman Al-Zahawi, Sara Masoomi, Alireza Ghanadan, Yasaman Sadeghi, Maryam Daneshpazhooh, Hamidreza Mahmoudi
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引用次数: 0

Abstract

Introduction: Primary cutaneous CD4+ small/medium T-cell lymphoproliferative disorder is a rare lymphoproliferative disorder (PCS-TCLPD) characterized by a solitary erythematous plaque or nodule on the face, neck, or upper trunk with a favorable outcome. Very rarely, multiple plaques or masses may be seen in which precise evaluation should be performed to exclude other primary cutaneous lymphoma.

Case presentation: Here we report a rare case of recalcitrant primary cutaneous small-/medium-sized CD4+ lymphoproliferative disorder in a 55-year-old male patient who responded well to rituximab injection but had recurrence after 1 year from the injections.

Conclusion: Aggressive treatment is avoided in solitary lesions of PCS-TCLPD, but multiple lesions with no response to the conventional modalities may need more sophisticated management, including anti-CD20 rituximab.

一例罕见的原发性皮肤CD4+小/中型t细胞增生性疾病对利妥昔单抗有反应。
原发性皮肤CD4+小/中型t细胞淋巴细胞增生性疾病是一种罕见的淋巴细胞增生性疾病(PCS-TCLPD),其特征是在面部、颈部或上肢出现孤立的红斑斑块或结节,预后良好。在极少数情况下,可发现多发斑块或肿块,应进行精确评估以排除其他原发性皮肤淋巴瘤。病例介绍:我们在此报告一例罕见的顽固性原发性皮肤小/中型CD4+淋巴细胞增生性疾病,患者为55岁男性,注射利妥昔单抗后反应良好,但注射1年后复发。结论:单独病灶的PCS-TCLPD可避免积极治疗,但多发病灶对常规治疗无效时,可能需要更复杂的治疗,包括抗cd20利妥昔单抗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
57
审稿时长
9 weeks
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