Pomsoong Cherrin, Suchonwanit Poonkiat, Chanprapaph Kumutnart, Rattanakaemakorn Ploysyne, Rutnin Suthinee
Division of Dermatology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Clin Cosmet Investig Dermatol. 2022 Aug 30;15:1759-1765. doi: 10.2147/CCID.S379577. eCollection 2022.
Pityriasis lichenoides et varioliformis acuta (PLEVA) and lymphomatoid papulosis (LyP) are uncommon inflammatory skin disorders that occasionally share clinicopathological features. Differentiating between the two entities remains problematic, and a definitive diagnosis usually requires multi-step investigations, which is an enormous challenge to physicians. We hereby report a rare case of a 22-year-old female patient diagnosed with PLEVA who later developed LyP type F, a new histological variant of LyP. Our report highlights that long-term follow-up is essential to determine associated hematologic malignancies, particularly in cases with recalcitrant or progressive cutaneous lesions of PLEVA and/or LyP.
急性痘疮样苔藓样糠疹(PLEVA)和淋巴瘤样丘疹病(LyP)是罕见的炎症性皮肤病,偶尔会有共同的临床病理特征。区分这两种疾病仍然存在困难,明确诊断通常需要多步骤检查,这对医生来说是一个巨大的挑战。我们在此报告一例罕见病例,一名22岁女性患者最初被诊断为PLEVA,后来发展为LyP F型,这是LyP的一种新的组织学变体。我们的报告强调,长期随访对于确定相关血液系统恶性肿瘤至关重要,特别是对于PLEVA和/或LyP有顽固性或进行性皮肤病变的病例。