Cutaneous mycotic infections with pseudolymphomatous infiltrates.
We report on 3 patients with cutaneous mycotic infections (superficial dermatophytosis, 1 patient; trichophytia, 2 patients), who on histological examination revealed dense, superficial, and deep lymphoid infiltrates admixed with variable numbers of eosinophils and with large, atypical-looking, partly CD30-positive lymphocytes. All 3 patients had received steroid therapy (locally and/or orally) upon a clinical misdiagnosis of granuloma annulare. This unusual histopathologic presentation of cutaneous mycotic infections may be mistaken for a lymphoproliferative disorder, particularly for lymphomatoid papulosis.
Kash
Natalie
N
Department of Dermatology, Medical University of Graz, Auenbruggerplatz 8, Graz, Austria.
Ginter-Hanselmayer
Gabriele
G
Cerroni
Lorenzo
L
D000328:Adult; D001706:Biopsy; D003881:Dermatomycoses / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D018859:Hair Follicle / Q000382:microbiology / Q000473:pathology; D006801:Humans; D008221:Lymphoid Tissue / Q000382:microbiology / Q000473:pathology*; D008223:Lymphoma / Q000473:pathology*; D017731:Lymphomatoid Papulosis / Q000473:pathology*; D008875:Middle Aged; D012878:Skin Neoplasms / Q000473:pathology*