Cutaneous B cell pseudolymphoma treated with rituximab and methotrexate

Cutaneous B cell pseudolymphoma (CBPL), or cutaneous lymphoid hyperplasia, is the most common pseudolymphoma. It typically responds well to local treatment and follows a benign course. Herein, we describe the unique case of a patient with CBPL that was refractory to a variety of treatments, with sub...

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Veröffentlicht in:Dermatology online journal 2021-09, Vol.27 (9)
Hauptverfasser: Besch-Stokes, Jake G, Patel, Meera H, Brumfiel, Caitlin M, Costello, Collin M, Rule, William, Rosenthal, Allison, Pittelkow, Mark R, DiCaudo, David J, Mangold, Aaron R
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container_issue 9
container_start_page
container_title Dermatology online journal
container_volume 27
creator Besch-Stokes, Jake G
Patel, Meera H
Brumfiel, Caitlin M
Costello, Collin M
Rule, William
Rosenthal, Allison
Pittelkow, Mark R
DiCaudo, David J
Mangold, Aaron R
description Cutaneous B cell pseudolymphoma (CBPL), or cutaneous lymphoid hyperplasia, is the most common pseudolymphoma. It typically responds well to local treatment and follows a benign course. Herein, we describe the unique case of a patient with CBPL that was refractory to a variety of treatments, with subsequent response to rituximab followed by methotrexate. This case explores the complex interplay of T and B lymphocytes, and the potential role of perifollicular T cells in treatment resistant CBPL. Further, it describes the additive therapeutic effect of rituximab and methotrexate to target both B cell and T cell populations in CBPL, a strategy already employed in a number of other conditions.
doi_str_mv 10.5070/D327955138
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subjects Aged
Antineoplastic Agents, Immunological - administration & dosage
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
B-Lymphocytes - drug effects
Drug Resistance
Drug therapy
Humans
Immunotherapy
Lymphocytes
Lymphoma
Male
Methotrexate - administration & dosage
Monoclonal antibodies
Pseudolymphoma - drug therapy
Pseudolymphoma - immunology
Rituximab - administration & dosage
Skin - immunology
Skin - pathology
Skin Neoplasms - drug therapy
T-Lymphocytes - drug effects
title Cutaneous B cell pseudolymphoma treated with rituximab and methotrexate
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