PUVA-induced lymphomatoid papulosis in a patient with mycosis fungoides

J Am Acad Dermatol. 1991 Aug;25(2 Pt 2):422-6. doi: 10.1016/0190-9622(91)70220-v.

Abstract

The occurrence of lymphomatoid papulosis in patients with cutaneous lymphoma, particularly mycosis fungoides, has been described in medical literature. A 68-year-old woman affected by mycosis fungoides in the plaque stage noticed that multiple papulonodular lesions of lymphomatoid papulosis developed suddenly after a few sessions of PUVA therapy. The PUVA induction of lymphomatoid papulosis was confirmed by the appearance of new lesions after a second cycle of PUVA exposure on a limited area of the body. Complete regression of all PUVA-induced lymphomatoid papulosis lesions was achieved within a few weeks with oral prednisone and topical steroids. During the entire treatment the patches and plaques of mycosis fungoides persisted unchanged.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Eosinophils / pathology
  • Erythema / chemically induced
  • Erythema / pathology
  • Female
  • Hemorrhage / pathology
  • Histiocytes / pathology
  • Humans
  • Lymphocytes / pathology
  • Mycosis Fungoides / drug therapy*
  • PUVA Therapy / adverse effects*
  • Skin Diseases / chemically induced*
  • Skin Diseases / pathology
  • Skin Neoplasms / drug therapy*