Blastic plasmacytoid dendritic cell neoplasm presenting as fever with diffuse cutaneous nodules

A young man, presented with high-grade fever and disseminated asymptomatic skin lesions of 6-weeks duration. Cutaneous examination revealed multiple infiltrated monomorphic skin-colored papules and nodules upto 2Χ2 cm all over scalp, face, trunk and extremities. Light microscopy of nodules showed di...

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Main Authors: C V Dincy Peter, Anupam Chakrapani, Sanjeev Shah, Apurva Shah, Alok Srivastava
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Indian Journal of Dermatology
Subjects:
Online Access:http://www.e-ijd.org/article.asp?issn=0019-5154;year=2012;volume=57;issue=1;spage=45;epage=47;aulast=Dincy
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author C V Dincy Peter
Anupam Chakrapani
Sanjeev Shah
Apurva Shah
Alok Srivastava
author_facet C V Dincy Peter
Anupam Chakrapani
Sanjeev Shah
Apurva Shah
Alok Srivastava
author_sort C V Dincy Peter
collection DOAJ
description A young man, presented with high-grade fever and disseminated asymptomatic skin lesions of 6-weeks duration. Cutaneous examination revealed multiple infiltrated monomorphic skin-colored papules and nodules upto 2Χ2 cm all over scalp, face, trunk and extremities. Light microscopy of nodules showed diffuse infiltration of dermis and subcutis by a tumor composed of medium to large cells with round to ovoid nuclei with fine chromatin, few with visible nucleoli and scanty to moderate amounts of eosinophilic cytoplasm. Tumor cells were positive for CD4, CD8, CD56 and negative for CD30, terminal deoxynucleotidyl transferase and Alk-1. Excised axillary lymph node showed similar morphologic and immunohistochemical findings. There was bone marrow involvement with infiltrate of large atypical/immature lymphoid cells. Diagnosis of blastic plasmacytoid dendritic cell neoplasm was made. This is a rare neoplasm. presenting commonly in the skin, with or without concurrent extracutaneous disease.
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spelling doaj.art-fe627e0ac17444ec9983ea7c957556b52022-12-21T20:28:34ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112012-01-01571454710.4103/0019-5154.92677Blastic plasmacytoid dendritic cell neoplasm presenting as fever with diffuse cutaneous nodulesC V Dincy PeterAnupam ChakrapaniSanjeev ShahApurva ShahAlok SrivastavaA young man, presented with high-grade fever and disseminated asymptomatic skin lesions of 6-weeks duration. Cutaneous examination revealed multiple infiltrated monomorphic skin-colored papules and nodules upto 2Χ2 cm all over scalp, face, trunk and extremities. Light microscopy of nodules showed diffuse infiltration of dermis and subcutis by a tumor composed of medium to large cells with round to ovoid nuclei with fine chromatin, few with visible nucleoli and scanty to moderate amounts of eosinophilic cytoplasm. Tumor cells were positive for CD4, CD8, CD56 and negative for CD30, terminal deoxynucleotidyl transferase and Alk-1. Excised axillary lymph node showed similar morphologic and immunohistochemical findings. There was bone marrow involvement with infiltrate of large atypical/immature lymphoid cells. Diagnosis of blastic plasmacytoid dendritic cell neoplasm was made. This is a rare neoplasm. presenting commonly in the skin, with or without concurrent extracutaneous disease.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2012;volume=57;issue=1;spage=45;epage=47;aulast=DincyBlastic plasmacytoid dendritic cell neoplasmcutaneous nodulesfever
spellingShingle C V Dincy Peter
Anupam Chakrapani
Sanjeev Shah
Apurva Shah
Alok Srivastava
Blastic plasmacytoid dendritic cell neoplasm presenting as fever with diffuse cutaneous nodules
Indian Journal of Dermatology
Blastic plasmacytoid dendritic cell neoplasm
cutaneous nodules
fever
title Blastic plasmacytoid dendritic cell neoplasm presenting as fever with diffuse cutaneous nodules
title_full Blastic plasmacytoid dendritic cell neoplasm presenting as fever with diffuse cutaneous nodules
title_fullStr Blastic plasmacytoid dendritic cell neoplasm presenting as fever with diffuse cutaneous nodules
title_full_unstemmed Blastic plasmacytoid dendritic cell neoplasm presenting as fever with diffuse cutaneous nodules
title_short Blastic plasmacytoid dendritic cell neoplasm presenting as fever with diffuse cutaneous nodules
title_sort blastic plasmacytoid dendritic cell neoplasm presenting as fever with diffuse cutaneous nodules
topic Blastic plasmacytoid dendritic cell neoplasm
cutaneous nodules
fever
url http://www.e-ijd.org/article.asp?issn=0019-5154;year=2012;volume=57;issue=1;spage=45;epage=47;aulast=Dincy
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