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Histologic features of erythroderma associated with cutaneous T cell lymphoma or inflammatory dermatoses

Histologic features of erythroderma associated with cutaneous T cell lymphoma or inflammatory dermatoses
Morphologic features in representative samples of erythrodermic CTCL and inflammatory dermatoses. A, C, and E show examples of erythrodermic CTCL, whereas B, D, and F are from the EID group.
(A) In this SS, skin biopsy did not allow a definite diagnosis, only showing a perivascular lymphocytic infiltrate without atypical lymphocyte, with an overlying hyperplastic and parakeratotic epidermis with slight spongiosis.
(B) In this erythrodermic drug reaction sample, a common perivascular lymphocytic infiltrate is seen, whereas no interface dermatitis and no apoptotic keratinocytes are identified.
(C) This SS sample shows a very discrete infiltrate in the dermis, but atypical lymphocytes and Pautrier microabcesses can be identified in the epidermis.
CTCL: cutaneous T cell lymphoma; EID: erytrodermic inflammatory dermatoses; SS: Sézary syndrome.
Reproduced with permission from: Ram-Wolff C, Martin-Garcia N, Bensussan A, et al. Histopathologic diagnosis of lymphomatous versus inflammatory erythroderma: a morphologic and phenotypic study on 47 skin biopsies. Am J Dermatopathol 2010; 32:755. DOI: 10.1097/DAD.0b013e3181cfbfbf. Copyright © 2010 International Society of Dermatopathology. Unauthorized reproduction of this material is prohibited.
Graphic 87791 Version 8.0

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