Lymphomatoid Papulosis

Question 1

Spectrum of lymphomatoid papulosis

Answer 1

considered to be within the spectrum of lymphoproliferative disorders that ranges from pityriasis lichenoides (most benign) to CTCL. It is a benign condition however with histologic features of lymphoma

Question 2

Clinical presentation

Answer 2

Multiple reddish-brown papules that develop hemorrhagic, necrotic centers and crusting and gradually involute

Question 3

Clinical course

Answer 3

inifidivual lesions appear in crops and evolve over several weeks to a month. However the course of the disorder in total may last for years. Asymptomatic typically

Question 4

Association with malignancy

Answer 4

Need long-term surveillance due to the association with lymphoma and nonlymphomatoid malignancies

Question 5

Tx of lymphomatoid papulosis

Answer 5

typically unnecessary although ultrapotent topical steroids BID for 2-3 weeks is effective