Case 4 F, 70 ys, lower leg Erythematous patch Clinical suspicious: pemphigoid? Patient followed by Department of Oncology.

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Presentation transcript:

Case 4 F, 70 ys, lower leg Erythematous patch Clinical suspicious: pemphigoid? Patient followed by Department of Oncology

Punch biopsy

CD20

CD3

CD79a

CD5

CD23

CD43

Mib-1

Further clinical information  History of B-CLL FINAL DIAGNOSIS FINAL DIAGNOSIS Cutaneous localization of B-CLL Cutaneous localization of B-CLL CD20+; CD79a+; CD5+; CD23+; CD43+; CD3-. CD20+; CD79a+; CD5+; CD23+; CD43+; CD3-.

Follow-up: spontaneous resolution of the lesion (Kazakov D et al. Dermatology 2003; 207: )  H&E: monomorphous lymphocytes, small size but with hyperchromatic nuclei  Immunohistochemistry: large panel r/o Mantle Cell Lymphoma (cyclin D1-; low Mib-1) r/o Mantle Cell Lymphoma (cyclin D1-; low Mib-1)  Clinical information: not given, at least directly!