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Lymphomatoid papulosis and Hodgkin's disease: Are they related?

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Summary

Two different characteristic types of lymphomatoid papulosis (type A and type B) can be histologically distinguished, that represent the ends of a spectrum. In the present report, two patients are described. One patient with both lymphomatoid papulosis type A and type B lesions for more than 25 years developed Hodgkin's disease (nodular sclerosing type) in the para-aortic and para-iliac lymph nodes. Histologic examination of the skin lesions in the second patient, who had Hodgkin's disease (nodular sclerosing type) in many supradiaphragmatic lymph nodes, showed the characteristic features of lymphomatoid papulosis type A. These findings, together with the results of recent immunohistochemical investigations showing many similarities between the large atypical cells in lymphomatoid papulosis type A lesions and Reed-Sternberg cells in Hodgkin's disease, support the view that lymphomatoid papulosis type A and Hodgkin's disease are closely related conditions. The results of recent studies indicate a close relationship between lymphomatoid papulosis type B and the early stages of mycosis fungoides. Accordingly, the possible relationship between lymphomatoid papulosis types A and B, mycosis fungoides, and Hodgkin's disease is discussed.

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Authors and Affiliations

  1. Department of Dermatology, University Hospital, Rijnsburgerweg 10, NL-2333 AA, Leiden, The Netherlands

    E. Scheffer & C. J. L. M. Meijer

  2. Department of Pathology, University Hospital, Rijnsburgerweg 10, NL-2333 AA, Leiden, The Netherlands

    R. Willemze & W. A. Van Vloten

  3. Department of Pathology, SSDZ, Delft, The Netherlands

    C. J. L. M. Meijer

Authors
  1. R. Willemze
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  2. E. Scheffer
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  3. W. A. Van Vloten
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  4. C. J. L. M. Meijer
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Supported by a grant (LUKC 82-09) from the Koningin Wilhelmina Fonds

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Willemze, R., Scheffer, E., Van Vloten, W.A. et al. Lymphomatoid papulosis and Hodgkin's disease: Are they related?. Arch Dermatol Res 275, 159–167 (1983). https://doi.org/10.1007/BF00510047

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  • DOI: https://doi.org/10.1007/BF00510047

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