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Related Experiment Videos

Borrelial lymphocytoma--a historical case

C E Sonck1, M Viljanen, P Hirsimäki

  • 1Department of Dermatology, University of Turku, Finland.

APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica
|December 2, 1998
PubMed
Summary

A patient experienced recurrent erythema migrans after tick bites, developing a temporary lymphatic infiltrate in breast skin. Borrelial DNA was found in the infiltrate, which shared genetic markers with a later lymphoma diagnosis.

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Area of Science:

  • Dermatology
  • Infectious Diseases
  • Oncology

Background:

  • Lyme disease, caused by Borrelia burgdorferi, is a tick-borne illness characterized by erythema migrans.
  • Disseminated Lyme disease can manifest in various ways, sometimes mimicking other conditions.

Observation:

  • A patient presented with two distinct episodes of erythema migrans following tick bites over a 20-year period.
  • A significant lymphatic infiltrate developed in the mammary skin during the second episode, resolving spontaneously.

Findings:

  • Borrelial DNA was identified in the breast lymphatic infiltrate via polymerase chain reaction.
  • The infiltrate and a subsequent generalized lymphoma exhibited similar monoclonal immunoglobulin heavy chain gene rearrangements.

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Implications:

  • This case suggests a potential link between Borrelia infection and lymphoproliferative disorders.
  • Further research is needed to explore the oncogenic potential of Borrelia burgdorferi infections.