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Werner, B; Massone, C; Kerl, H; Cerroni, L.
Large CD30-positive cells in benign, atypical lymphoid infiltrates of the skin.
J CUTANEOUS PATHOL. 2008; 35(12): 1100-1107.
Doi: 10.1111/j.1600-0560.2007.00979.x
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- Führende Autor*innen der Med Uni Graz
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Cerroni Lorenzo
- Co-Autor*innen der Med Uni Graz
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Kerl Helmut
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Massone Cesare
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- Abstract:
- Background: Cutaneous infectious and inflammatory diseases may contain a significant number of CD30-positive cells, thus mimicking lymphomatoid papulosis (LyP) or anaplastic large cell lymphoma. Methods: We reviewed our cases of non-neoplastic skin conditions with large, CD30-positive cells and searched the literature for similar cases. Results: A total of 28 cases were included in the study: Milker's nodule (n = 8), Herpes simplex virus infection (n = 7), lymphomatoid drug reaction (n = 3), molluscum contagiosum (n = 3), nodular scabies (n = 2), leishmaniasis (n = 1), syphilis (n = 1), pernio (n = 1), ruptured infundibular cyst (n = 1) and pseudolymphoma in a scar (n = 1). CD30-positive cells were often arranged in clusters and revealed both Golgi and membrane positivity, similar to what was observed in LyP and CD30+ anaplastic large T-cell lymphoma. Conclusions: Analysis of our data and of those published in the literature shows that viruses and drugs are the most common cause for occurrence of large CD30-positive cells in cutaneous pseudolymphomatous infiltrates. Arrangement of these large, CD30-positive cells in small clusters is not unique to cutaneous CD30-positive lymphomas, and in many cases a precise diagnosis can be made only upon accurate clinicopathological correlation or using ancillary methods such as polymerase chain reaction analysis for viral DNA.
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Adolescent -
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Adult -
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Aged -
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Antigens, CD30 - metabolism
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Child -
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Child, Preschool -
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Diagnosis, Differential -
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Drug Toxicity - metabolism
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Female -
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Humans -
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Infant -
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Lymphoma, Large-Cell, Anaplastic - pathology
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Lymphomatoid Papulosis - pathology
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Male -
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Middle Aged -
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Skin Diseases - etiology
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Skin Neoplasms - pathology
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Virus Diseases - metabolism