Angioinvasive lymphomatoid papulosis: Another case of a newly described variant

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Abstract

Lymphomatoid papulosis (LyP) is a chronic recurrent lymphoproliferative disorder characterized clinically by self-regressing cutaneous lesions. Histologically, it is recognized by clusters of CD30 atypical lymphocytes in the background of mixed inflammatory infiltrate. It has been classified as type A, B, C, and D. Recently, a further variant of LyP was described as "angioinvasive LyP" in a series of 16 patients. We report a case of a 73-year-old female presenting with papules and nodules on the extremities evolving into eschar-like necrotic plaques. Histological examination revealed medium- to large-sized atypical lymphoid CD30 cells densely infiltrating the dermis with distinct angioinvasion and angiodestruction. No systemic involvement was identified. The clinicopathologic features conformed to the newly described angioinvasive LyP.

Original languageEnglish (US)
Pages (from-to)e75-e77
JournalAmerican Journal of Dermatopathology
Volume36
Issue number3
DOIs
StatePublished - Mar 2014

Keywords

  • Angioinvasive lymphoma
  • CD30
  • Cutaneous lymphoma
  • Lymphoma
  • Lymphoproliferative disorder
  • LyP

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Dermatology

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