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Title:A case report of lymphomatoid papulosis : uncovering a rare diagnosis from a common finger ulcer
Authors:ID Kurmuş, Gökçe Işıl (Author)
ID Karataş, Hanife (Author)
ID Güler, Elif Kaya (Author)
ID Cinar, Ali (Author)
ID Pelin Kartal, Selda (Author)
Files:URL URL - Source URL, visit https://acta-apa.mf.uni-lj.si/journals/acta-dermatovenerol-apa/papers/10.15570/actaapa.2025.2/actaapa.2025.2.pdf
 
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MD5: 922D468D2D08C1F210CF9CB227640F35
 
Language:English
Typology:1.03 - Other scientific articles
Organization:Logo ZSD - Association of Slovenian Dermatovenereologists
Abstract:Lymphomatoid papulosis (LyP) is a rare, chronic CD30+ cutaneous lymphoproliferative disorder characterized by recurrent, selfhealing papulonodular lesions. Despite its benign clinical course, LyP histologically resembles malignant lymphomas, necessitating careful differentiation. A 42-year-old woman presented with a 3-year history of recurring ulcerated papulonodular lesions on her index finger. Histopathological examination revealed atypical CD30+ lymphoid proliferation, confirming LyP type A. Immunohistochemical analysis was positive for CD2, CD4, CD30, and multiple myeloma oncogene 1, while systemic malignancy was excluded. The patient was treated with low-dose methotrexate (15 mg/week), leading to symptom improvement. LyP is classified into five histological subtypes (A–E) and is often misdiagnosed due to its overlap with inflammatory and neoplastic conditions. While the condition typically resolves spontaneously, it is associated with an increased risk of secondary lymphomas, including mycosis fungoides and primary cutaneous anaplastic large cell lymphoma. Accurate diagnosis relies on clinical presentation, histopathological evaluation, and immunophenotyping. Awareness of LyP’s clinical and pathological features is essential for appropriate management and surveillance.
Keywords:lymphomatoid papulosis, CD30+, lymphoproliferative disorders, cutaneous T-cell lymphoma, dermatopathology
Publication status:Published
Publication version:Version of Record
Publication date:01.09.2025
Year of publishing:2025
Number of pages:str. 151-154
Numbering:Vol. 34, issue 3
PID:20.500.12556/DiRROS-29907 New window
UDC:616.5:579
ISSN on article:1318-4458
DOI:10.15570/actaapa.2025.2 New window
COBISS.SI-ID:260312323 New window
Publication date in DiRROS:15.06.2026
Views:40
Downloads:19
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Record is a part of a journal

Title:Acta dermatovenerologica Alpina, Panonica et Adriatica
Shortened title:Acta dermatovenerolog. Alp. Panon. Adriat.
Publisher:Slovene Welding Society
ISSN:1318-4458
COBISS.SI-ID:31649024 New window

Secondary language

Language:Slovenian
Keywords:limfomatoidna papuloza, limfoproliferativne motnje, kožni T-celični limfom, dermatopatologija


Collection

This document is a part of these collections:
  1. Acta dermatovenerologica Alpina, Panonica et Adriatica

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