Guess what! SALT - related B-cell lymphoma presenting as a xanthomatous infiltration of the neck.
A 37-year-old man without previous medical history working as a lock keeper was seen in our unit for a progressive painless subcutaneous flesh coloured infiltration of the lower anterior area of the neck growing slowly over 5 months. Clinical cutaneous findings showed a non pruriginous yellowish papulonodular eruption mimicking xanthomas (Figs. 1 and 2). No other clinical abnormalities were found. A cutaneous biopsy specimen was performed. Histopathological examination revealed, under a normal epidermis, a dense lymphoplasmocytoid infiltrate involving the dermis with periadnexal and perivascular reinforcement (Figs. 3 and 4).
Marcilly
M C
MC
Department of Dermatology, Hôpital de l'Antiquaille, 1, rue de l'Antiquaille, 69321 Lyon Cedex 05, France.
Grézard
P
P
Wolf
F
F
Viornery
P
P
Balme
B
B
Perrot
H
H
D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D016393:Lymphoma, B-Cell / Q000473:pathology*; D008297:Male; D009333:Neck; D012867:Skin / Q000473:pathology; D012878:Skin Neoplasms / Q000473:pathology*; D014973:Xanthomatosis / Q000473:pathology*