Lymphomatoid Papulosis Type A: A Case Report of the "Wait-and-See Strategy" in a 27-Year-Old Male Patient with Extensive Disease

Case Reports in Dermatological Medicine
Eirini KavvalouKonstantinos Krasagakis

Abstract

This is the case of a 27-year-old male patient with a newly diagnosed extensive lymphomatoid papulosis type A involving cosmetically sensitive areas (e.g. face), who refused to be treated with a low dose of methotrexate, as recommended by the published literature. The natural course of the disease was proved to be strikingly satisfying though, with a complete regression of all skin lesions at the 4-week follow-up, including an ulcerated nodule 3 x 3 cm in dimension, which was expected to heal at least in months. We report this case to reconsider weighting the risks and the short-term benefits of methotrexate treatment, even in the case of an extensive disease.

References

Feb 20, 2003·Dermatology : International Journal for Clinical and Investigative Dermatology·Richard A KrathenMadeleine Duvic
May 25, 2006·Photodermatology, Photoimmunology & Photomedicine·Andrew P KontosHenry K Wong
Feb 7, 2009·Clinical and Experimental Dermatology·J H KunishigeM Duvic
Apr 29, 2009·The Australasian Journal of Dermatology·Michelle RodriguesPeter Foley
May 20, 2015·Journal of the American Academy of Dermatology·Kate M NewlandH Miles Prince
Aug 12, 2015·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Madeleine DuvicRakhshandra Talpur

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Citations

Jan 22, 2020·Minerva medica·Antonello SicaElvira Moscarella

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Methods Mentioned

BETA
biopsy

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