Volume 3, Issue 4, Pages (July 2017)

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Volume 3, Issue 4, Pages 269-272 (July 2017) Primary cutaneous marginal zone lymphoma with leptomeningeal involvement and a durable response to rituximab Pooja Virmani, MBBS, Klaus Busam, MD, Patricia L. Myskowski, MD, Amy Yang, MD, Cynthia Magro, MD, Steven Horwitz, MD JAAD Case Reports Volume 3, Issue 4, Pages 269-272 (July 2017) DOI: 10.1016/j.jdcr.2017.02.024 Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Clinical overview images. A, Multiple red papules on upper arm. B, Close-up view of the erythematous papule. JAAD Case Reports 2017 3, 269-272DOI: (10.1016/j.jdcr.2017.02.024) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Representative photomicrographs of skin biopsies. A, Striking infiltrate of atypical lymphoplasmacytoid cells involving superficial and deep dermis. B, interstitial and perivascular infiltrate of atypical small-to-intermediate lymphocytes, some with abundant cytoplasm and plasmacytic differentiation. C, The B lymphocytes show a dominance of λ light chain. D, Kappa is essentially negative. (A and B, Hematoxylin-eosin stain; original magnifications: A, ×200; B, ×1000.) JAAD Case Reports 2017 3, 269-272DOI: (10.1016/j.jdcr.2017.02.024) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 Cerebrospinal fluid shows atypical lymphocytes. JAAD Case Reports 2017 3, 269-272DOI: (10.1016/j.jdcr.2017.02.024) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions