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Case for diagnosis. Primary cutaneous CD4+ small/medium T-cell lymphoproliferative disorder
Flávia de Oliveira Valentim1, Cristiano Claudino Oliveira2,3, Hélio Amante Miot1
1Department of Dermatology, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu (SP), Brazil.
Anais Brasileiros De Dermatologia
|February 7, 2019
Summary
Primary cutaneous CD4+ small/medium T-cell lymphoproliferative disorder is a rare skin condition. Potent topical corticosteroids effectively treated a patient
Area of Science:
- Dermatology
- Oncology
- Pathology
Background:
- Primary cutaneous CD4+ small/medium T-cell lymphoproliferative disorder is a rare, indolent skin condition.
- Diagnosis can be challenging due to its rarity and overlapping clinical features.
Observation:
- A 36-year-old woman presented with a progressive, asymptomatic purplish nodule on her nasal ala.
- The lesion exhibited hardened, shiny, and erythematous characteristics.
Findings:
- Histopathological examination and immunohistochemistry confirmed the diagnosis of primary cutaneous CD4+ small/medium T-cell lymphoproliferative disorder.
- The patient achieved complete remission within 60 days of treatment.
Implications:
- Potent occlusive corticosteroids are an effective treatment for this rare T-cell disorder.
- Early diagnosis and prompt treatment can lead to favorable outcomes.
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