ISSN:
1468-3083
Quelle:
Blackwell Publishing Journal Backfiles 1879-2005
Thema:
Medizin
Notizen:
We observed a 61-year-old woman, presenting with deeply infiltrating, erythemato-cyanotic, sometimes ulcerated or crusted plaques and nodules, mainly located on the lower limbs. Similar lesions had been present for more than 4 years, with a typical evolution: fast growth, followed by ulceration and necrosis, resulting in hyperpigmented, atrophic patches. The patient had had Rx-confirmed, symptomatic lung sarcoidosis for 5 years. Histological examination of skin lesions showed diffuse dermal and hypodermal lympho-histiocytic infiltrate, mainly composed of pleomorphic cells. On immunohistochemistry, the infiltrate was mainly composed of CD2 ±, CD3 ±, CD45RO ±, CD4 ±, CD30 ±, CD25 - T-cells, with sparse CDla ± dendritic cells. The typical clinical evolution (relapsing, self-regressing plaques and nodules), morpho-immuno-logical features of skin lesions, and strong expression of CD30 antigen by neoplastic T-cells suggest the possible classification of this case as CD30 ± (Ki-1 ±) cutaneous T-cell lymphoma. The association with systemic sarcoidosis, together with a down-regulated cell-mediated immune response, suggests the possibility that this latter may be a common denominator in the development of the two diseases.
Materialart:
Digitale Medien
URL:
http://dx.doi.org/10.1111/j.1468-3083.1992.tb00664.x
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