Rare presentation of disseminated follicular lymphoma as an ill-defined reticular patch over the scalp and forehead Faezeh Talebi-Liasi, MD, Sophia Sandhu,

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Rare presentation of disseminated follicular lymphoma as an ill-defined reticular patch over the scalp and forehead Faezeh Talebi-Liasi, MD, Sophia Sandhu, MD JAAD Case Reports Volume 5, Issue 4, Pages 319-322 (April 2019) DOI: 10.1016/j.jdcr.2019.02.022 Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 A, Patient at her initial visit with ill-defined erythematous macules and reticular patches with areas of blanchable telangiectasias over frontoparietal forehead. B, Patient at the 6-month follow-up visit after 4 cycles of systemic rituximab. JAAD Case Reports 2019 5, 319-322DOI: (10.1016/j.jdcr.2019.02.022) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Hematoxylin–eosin staining of a punch biopsy specimen at ×5 magnification showing dense nodular lymphocytic infiltrates in the dermis and superficial subcutaneous fat. JAAD Case Reports 2019 5, 319-322DOI: (10.1016/j.jdcr.2019.02.022) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 CD20+ positive lymphocytic nodules (follicles) consistent with follicular B-cell lymphoma. JAAD Case Reports 2019 5, 319-322DOI: (10.1016/j.jdcr.2019.02.022) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

Fig 4 A, CD10+ cells are seen within the follicles that are also (B) BCL2+. (Original magnification, ×5.) JAAD Case Reports 2019 5, 319-322DOI: (10.1016/j.jdcr.2019.02.022) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions