Borrelial pseudolymphoma of the nose.

Abstract

A 52-year-old Colombian woman, a patient with psoriasis, undergoing phototherapy with (ultraviolet B narrowband) UVBnb, presented with a symptomless solitary diffuse erythaematous plaque on her nose for 3 months. Initially, she was treated with pimecrolimus 1% cream for 8 weeks, which was then combined with metronidazole cream for 4 weeks, with the initial diagnosis of UV-triggered rosacea, without improvement. A punch biopsy was performed and the histology showed a pseudolymphomatous reaction. The diagnosis of nasal pseudolymphoma of borreliosis was confirmed with PCR. The lesion completely resolved following oral doxycycline therapy.

• Authors: Mosab Tariq Mohanna, Jivko Kamarashev, Günther F L Hofbauer
• Journal: BMJ case reports (BMJ Case Rep) Vol. 2015 (Jan 07 2015) ISSN: 1757-790X [Electronic] England
• PMID: 25568264 (Publication Type: Case Reports, Journal Article)
• Copyright: 2015 BMJ Publishing Group Ltd.

Chemical References

• Anti-Bacterial Agents
• Doxycycline

Topics

• Anti-Bacterial Agents (therapeutic use)
• Borrelia burgdorferi
• Diagnosis, Differential
• Doxycycline (therapeutic use)
• Female
• Humans
• Lyme Disease (complications, drug therapy)
• Middle Aged
• Nose Diseases (diagnosis, microbiology)
• Pseudolymphoma (diagnosis, microbiology)
• Rosacea (diagnosis)