Cutaneous Pseudolymphomas With Identical Clinicopathological Features Induced by Tick Bites at Two Separate Sites

Clin Case Rep. 2025 Aug 6;13(8):e70782. doi: 10.1002/ccr3.70782. eCollection 2025 Aug.

Abstract

Identical dermoscopic and histopathologic findings at two distinct tick bite sites demonstrate a stereotypical immune response within a single individual of cutaneous pseudolymphoma, with diagnostic clues including retained cement cones and white reticular lines, even in the absence of visible tick parts.

Keywords: dermoscopy; immune response; immunohistochemistry; pathology; pseudolymphoma; tick bites.