Refractory Cutaneous Lymphoid Hyperplasia Treated with Rituximab: A Case Report and Literature Review

Authors

  • Yutarat Suwanchatkul Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. https://orcid.org/0000-0003-4340-0410
  • Manasmon Chairatchaneeboon Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. https://orcid.org/0000-0001-7674-416X

Keywords:

Cutaneous Lymphoid Hyperplasia, Reactive B-Cell-Rich Lymphoid Proliferations, Pseudolymphoma, Refractory, Rituximab

Abstract

Cutaneous lymphoid hyperplasia (CLH), recognized as reactive B-cell-rich lymphoid proliferations in the 5th edition of the World Health Organization Classification of Haematolymphoid Tumours, is a benign reactive inflammatory condition that clinically and histologically resembles cutaneous lymphoma and can present with a predominance of B-cells, T-cells, or a mixture of both. The majority of patients present with a single papule, nodule, or plaque. Nevertheless, numerous or extensive lesions can rarely develop. We report a case of CLH with multiple nodules and plaques on the face. The patient had a progressive refractory disease and showed poor response to numerous therapies, including topical, intralesional, and systemic corticosteroids, topical calcineurin inhibitors, doxycycline, isotretinoin, hydroxychloroquine, and methotrexate, but showed a great response to rituximab, a monoclonal antibody targeted against the CD20 antigen.

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Published

2024-03-06

How to Cite

Suwanchatkul, Y., & Chairatchaneeboon, M. (2024). Refractory Cutaneous Lymphoid Hyperplasia Treated with Rituximab: A Case Report and Literature Review. Thai Journal of Dermatology, 40(1), 8–12. Retrieved from https://he02.tci-thaijo.org/index.php/TJD/article/view/265412

Issue

Section

Case Report