Abstract

Immunopathogenesis of pregnancy induced lymphomatoid papulosis

Highlights

  • We present the immunopathogenesis of Lymphomatoid Papulosis associated with mild immunosuppression

  • A 35-year-old Caucasian female G4P4 at week one post partum with no significant past medical history was referred to our clinic for evaluation and treatment of right thigh dermatitis

  • Reported history suggested a recurrent dermatitis in the same location of which she believed the papules had been larger during the previous flare

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Summary

Case description

A 35-year-old Caucasian female G4P4 at week one post partum with no significant past medical history was referred to our clinic for evaluation and treatment of right thigh dermatitis. Physical exam confirmed the lesions were localized to the distal right thigh with a grouping of four 2-3 mm erythematous macules, the larger papule with scales (Figure 1). A biopsy was agreed upon and later demonstrated the presence of CD4 cells, greater than 50% CD30 positive (Figure 2). Clinical presentation followed by the regression of disease and prior positive biopsy confirmed the diagnosis of LyP, subgroup C (Figures 3 and 4). The patient and 4)group Clowed by the regression of disease and prior positive biopsy confirmed the Ultrasound images of the thyroid noted a 5.1 cm nodule in the left lobe. The patient was later evaluated by fine needle aspiration and found negative for thyroid malignancy

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