Actinic granuloma occurring in an unusual association with cutaneous B-cell chronic lymphocytic leukemia

Julia A. Kauffman, Doina Ivan, Jonathan E. Cutlan, Sharon R. Hymes

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Granulomatous cutaneous reactions are well described in association with T-cell non-Hodgkin lymphoma and Hodgkin lymphoma, but are rarely seen in association with B-cell non-Hodgkin lymphoma or leukemia. We report a case of a 65-year-old woman with B-cell chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL) who presented with multiple, tender, firm pink papules on the face, upper trunk and upper extremities 6 years after diagnosis of CLL. Biopsy revealed both palisading granulomatous dermatitis consistent with actinic granuloma and a dense perivascular lymphocytic infiltrate consistent with the patient's known history of leukemia. This is an unusual manifestation of cutaneous B-cell CLL that is rarely seen.

Original languageEnglish (US)
Pages (from-to)294-297
Number of pages4
JournalJournal of cutaneous pathology
Volume39
Issue number2
DOIs
StatePublished - Feb 2012

Keywords

  • Collagenolytic granulomas
  • Cutaneous lymphoma
  • Granuloma
  • Skin

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Histology
  • Dermatology

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