Abstract |
A 47-year-old-man presented with rashes on his trunk and limbs, and a diagnosis of parapsoriasis was made. Ten years later, the rashes had progressed gradually to form plaques and tumours. Gene rearrangement studies revealed monoclonality of the T-cell receptor β-chain (TCR-Jβ)1 gene, and results of flow cytometry and immunohistochemical examination confirmed a diagnosis of epidermotropic CD8+ cytotoxic T-cell lymphoma. The clinical course of the disease remained indolent for some time, but about 2 years later, neutrophilic pustules formed on the surface of the skin lesions, and tumours developed in the patient's testes. Using flow cytometry, emergence of CD7+ cells was found. The patient died the following year of respiratory failure due to brain herniation. On postmortem examination, CD8+ tumour cells were found in the brain. This case demonstrates an unusually protracted indolent phase in a patient with cutaneous aggressive epidermotropic CD8+ cytotoxic T-cell lymphoma; its transition into the aggressive phase was accompanied by emergence of CD7+ cells and formation of neutrophilic pustules.
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Authors | Y Ito, M Goto, Y Hatano, M Kawamoto, M Ohishi, S Takayasu, K Katagiri, S Fujiwara |
Journal | Clinical and experimental dermatology
(Clin Exp Dermatol)
Vol. 37
Issue 2
Pg. 128-31
(Mar 2012)
ISSN: 1365-2230 [Electronic] England |
PMID | 21883402
(Publication Type: Case Reports, Journal Article)
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Copyright | © The Author(s). CED © 2011 British Association of Dermatologists. |
Chemical References |
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Topics |
- Antigens, CD7
(immunology)
- CD8-Positive T-Lymphocytes
(immunology)
- Disease Progression
- Fatal Outcome
- Humans
- Lymphoma, T-Cell, Cutaneous
(immunology, pathology)
- Male
- Middle Aged
- Skin Diseases, Vesiculobullous
(immunology, pathology)
- Skin Neoplasms
(immunology, pathology)
- T-Lymphocytes, Cytotoxic
(immunology)
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