Lymphomatoid Papulosis and Other Lymphoma-Like Diseases

Dermatol Clin. 2019 Oct;37(4):471-482. doi: 10.1016/j.det.2019.05.005. Epub 2019 Aug 6.

Abstract

Pityriasis lichenoides et varioliformis acuta and pityriasis lichenoides chronica are the 2 main subtypes of pityriasis lichenoides. They represent the acute and chronic forms of the disease; both may have clonal T cells. Several treatment modalities are used, but it has been difficult to determine efficacy because of the possibility of spontaneous remission. Cutaneous CD30+ lymphoproliferative disorders constitute many cutaneous T-cell lymphomas and comprise lymphomatoid papulosis and primary cutaneous anaplastic large cell lymphoma (ALCL). Both have an excellent prognosis. Lymphomatoid papulosis often only requires observation or treatment of symptoms. First-line therapies for primary cutaneous ALCL are surgical excision or radiotherapy.

Keywords: Anaplastic large cell lymphoma; CD30 lymphoproliferative disorder; Lymphomatoid papulosis; Pityriasis lichenoides chronica; Pityriasis lichenoides et varioliformis acuta.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Antibodies, Monoclonal / therapeutic use
  • Antineoplastic Agents / therapeutic use
  • Dermatologic Surgical Procedures
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Keratolytic Agents / therapeutic use
  • Ki-1 Antigen
  • Lymphoma, Primary Cutaneous Anaplastic Large Cell / diagnosis
  • Lymphoma, Primary Cutaneous Anaplastic Large Cell / pathology
  • Lymphoma, Primary Cutaneous Anaplastic Large Cell / therapy*
  • Lymphomatoid Papulosis / diagnosis
  • Lymphomatoid Papulosis / pathology
  • Lymphomatoid Papulosis / therapy*
  • Phototherapy
  • Pityriasis Lichenoides / diagnosis
  • Pityriasis Lichenoides / pathology
  • Pityriasis Lichenoides / therapy*
  • Radiotherapy
  • Skin Neoplasms / diagnosis
  • Skin Neoplasms / pathology
  • Skin Neoplasms / therapy*

Substances

  • Adrenal Cortex Hormones
  • Anti-Bacterial Agents
  • Antibodies, Monoclonal
  • Antineoplastic Agents
  • Immunosuppressive Agents
  • Keratolytic Agents
  • Ki-1 Antigen
  • SGN-30 monoclonal antibody