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[Small-plaque parapsoriasis: case report].

S Tasić1, S Stojanović, M Poljacki

  • 1Klinika za kozno-venericne bolesti, Klinicki centar, Medicinski fakultet, Novi Sad.

Medicinski Pregled
|January 5, 2002
PubMed
Summary
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Small plaque parapsoriasis presents as stubborn, scaly skin lesions. While treatable with corticosteroids and sunlight, lesions often recur, necessitating long-term monitoring due to potential lymphoproliferative links.

Area of Science:

  • Dermatology
  • Oncology

Background:

  • Small plaque parapsoriasis is a rare, chronic skin condition predominantly affecting middle-aged males.
  • Characterized by erythematous, scaly plaques on limbs and trunk with mild eczematous changes histologically.

Observation:

  • A 61-year-old male presented with persistent, itchy, erythematous, scaly plaques on his limbs.
  • Histopathology revealed epidermal atrophy, parakeratosis, and mononuclear cell infiltrate, consistent with the clinical diagnosis.

Findings:

  • The patient's lesions significantly regressed following treatment with topical corticosteroids and whole-body sunlight irradiation.
  • Small plaque parapsoriasis exhibits a prolonged clinical course, with lesions often recurring after treatment cessation.

Implications:

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  • Recent evidence suggests monoclonality and T-cell receptor gene rearrangements, prompting consideration of this condition as a potential abortive cutaneous T-cell lymphoma.
  • Long-term clinical and histological assessment is crucial for patients with small plaque parapsoriasis due to its complex nature and potential links to lymphoproliferative disorders.