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Erythema multiforme‐like cutaneous lesions in monomorphic epitheliotropic intestinal T‐cell lymphoma: a rare case report
Author(s) -
Aiempanakit Kumpol,
Amatawet Chitiarpa,
Chiratikarnwong Kanokphorn,
Auepemkiate Sauvarat,
Kayasut Kanita,
Suwiwat Supaporn,
Apinantriyo Benjawan
Publication year - 2017
Publication title -
journal of cutaneous pathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 75
eISSN - 1600-0560
pISSN - 0303-6987
DOI - 10.1111/cup.12864
Subject(s) - medicine , pagetoid , pathology , lymphoma , cutaneous lymphoma , dermatology , mycosis fungoides , erythema , biopsy , cutaneous t cell lymphoma , atypical lymphocyte , immunohistochemistry
Monomorphic epitheliotropic intestinal T‐cell lymphoma ( MEITL ), also known as Type II enteropathy‐associated T‐cell lymphoma ( EATL ), is an aggressive peripheral T‐cell lymphoma. EATL generally presents in adults with gastrointestinal symptoms. Skin involvement is very rare, found only in approximately five percent of patients. The authors report a 67‐year‐old Asian male who presented with chronic diarrhea and developed erythema multiforme‐like cutaneous lesions. A skin biopsy revealed extensive pagetoid spread of atypical lymphocytes in the epidermis. The results of an immunohistochemistry test led to a diagnosis of MEITL . This report points to the need for dermatologists and dermatopathologists to consider a possible diagnosis of MEITL when encountering similar cases.