[Borrelia-associated lymphocytoma cutis]

Area of Science:

• Dermatology
• Infectious Diseases
• Pediatrics

Background:

• Borrelia burgdorferi infection can manifest in the skin, presenting various clinical forms.
• Cutaneous lymphocytoma, a benign B-cell lymphoproliferative disorder, is a recognized manifestation of early disseminated Lyme disease.
• Distinguishing cutaneous lymphocytoma from malignant lymphomas is crucial for appropriate patient management.

Observation:

• A case study of a 6-year-old boy presenting with lymphocytoma cutis on the ear is detailed.
• The lesion was associated with Borrelia burgdorferi infection.
• Clinical presentation, physical examination, and serological tests were utilized for diagnosis.

Findings:

• The patient was diagnosed with Borrelia burgdorferi-associated lymphocytoma cutis.
• Histopathological analysis was considered for differential diagnosis with cutaneous lymphomas.
• The condition represents a subacute manifestation of early disseminated borrelial infection.

Implications:

• Early diagnosis and prompt antibiotic treatment are effective in resolving Borrelia burgdorferi-associated lymphocytoma cutis.
• The favorable prognosis of cutaneous lymphocytoma underscores the importance of accurate diagnosis in pediatric dermatology.
• This case reinforces the spectrum of cutaneous manifestations of Lyme disease and the efficacy of antimicrobial therapy.