Naproxen-induced pseudolymphoma syndrome: a case report

Drug-induced pseudolymphoma syndrome is a rare form of adverse cutaneous drug reaction. Its clinical and histological presentation may mimic mycosis fungoides, which sometimes leads to misdiagnosis and unnecessary treatments. We describe the case of a 65-year-old man with a generalized pruritic and...

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Bibliographic Details
Main Authors: Shang-Hong Lin (Author), Cheng-Yu Wang (Author), Ji-Chen Ho (Author), Wei-Ming Wu (Author)
Format: Book
Published: Wolters Kluwer Medknow Publications, 2010-03-01T00:00:00Z.
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100 1 0 |a Shang-Hong Lin  |e author 
700 1 0 |a Cheng-Yu Wang  |e author 
700 1 0 |a Ji-Chen Ho  |e author 
700 1 0 |a Wei-Ming Wu  |e author 
245 0 0 |a Naproxen-induced pseudolymphoma syndrome: a case report 
260 |b Wolters Kluwer Medknow Publications,   |c 2010-03-01T00:00:00Z. 
500 |a 1027-8117 
500 |a 10.1016/S1027-8117(10)60004-3 
520 |a Drug-induced pseudolymphoma syndrome is a rare form of adverse cutaneous drug reaction. Its clinical and histological presentation may mimic mycosis fungoides, which sometimes leads to misdiagnosis and unnecessary treatments. We describe the case of a 65-year-old man with a generalized pruritic and confluent maculopapular eruption. His history of skin lesions was concordant with medication and resolved after discontinuation. However, microscopic examination showed characteristic features of mycosis fungoides, including Pautrier-like microabscesses and cerebriform nuclei of atypical lymphocytes. The immunohistochemical study showed CD4/CD8 infiltrate ratio to be 1 in the epidermis. The histopathological result of a second skin biopsy was compatible with drug eruption. This experience demonstrates that combining clinical history, histological and immunohistochemical findings is crucial for a definite diagnosis of PLS. 
546 |a EN 
690 |a Maculopapular eruption 
690 |a Naproxen 
690 |a Pseudolymphoma syndrome 
690 |a Dermatology 
690 |a RL1-803 
655 7 |a article  |2 local 
786 0 |n Dermatologica Sinica, Vol 28, Iss 1, Pp 27-31 (2010) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S1027811710600043 
787 0 |n https://doaj.org/toc/1027-8117 
856 4 1 |u https://doaj.org/article/ba723b12080b4dfaa9cb3a49f4bd7b8a  |z Connect to this object online.