Posttransplantation lymphoproliferative disease with features of lymphomatoid granulomatosis in a lung transplant patient - 09/08/11
, Karla S. Draft, MD b, John T. Seykora, MD, PhD b, Alain H. Rook, MD b, Mariusz A. Wasik, MD c, Jacqueline M. Junkins-Hopkins, MD b
Reprint requests: Kenneth A. Katz, MD, MSc, Department of Dermatology, University of Pennsylvania School of Medicine, 3600 Spruce St, 2 Maloney Building, Philadelphia, PA 19104.Philadelphia, Pennsylvania
Abstract |
A 58-year-old lung transplant patient developed worsening shortness of breath and indurated erythematous plaques on the lower left leg. A skin biopsy specimen revealed a dense angiocentric and angioinvasive infiltrate in the mid to reticular dermis and panniculus containing large, atypical lymphocytes with convoluted nuclei and prominent nucleoli. Immunohistochemical stains showed that the atypical cells were of B-cell origin, and that Epstein-Barr virus was present. Molecular studies demonstrated B-cell clonality. The patient was successfully treated with rituximab. The clinical and pathologic features in this case represent posttransplantation lymphoproliferative disease with features of lymphomatoid granulomatosis. The case also highlights the importance of clinical and pathologic examination of cutaneous lesions in the evaluation of lymphoproliferative disorders for patients undergoing transplantation.
Le texte complet de cet article est disponible en PDF.Abbreviations used : CT, EBV, LYG, NK, PTLD
Plan
| Dr Kwon is currently affiliated with the Department of Medicine, Pennsylvania Hospital, Philadelphia, PA. Supported by a fellowship from a Kirschstein National Research Service Award from the National Institutes of Arthritis and Musculoskeletal and Skin Diseases (Dr Katz). Conflicts of interest: None identified. |
Vol 54 - N° 4
P. 657-663 - avril 2006 Retour au numéro
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