A transient benign lymph node-based proliferation of T-cells simulating non-Hodgkin lymphoma in a patient with psoriasis treated with tumor necrosis factor alpha and CD11a antagonists

M. Yadira Hurley, Mary Noel George, Craig L. Leonardi, John L. Frater

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Background. Therapeutic biologic agents are uncommonly associated with lymphoma. Case presentation. We report a patient with psoriasis treated with the biologic agents efalizumab (Raptiva®) and etanercept (Enbrel®), who developed painless lymphadenopathy with peripheral lymphocytosis during treatment, simulating a non-Hodgkin lymphoma clinically and pathologically. Lymphocytosis and lymphadenopathy spontaneously remitted following cessation of etanercept therapy and have not recurred. Conclusion. Distinction between clinically benign lymphoid proliferations related to antipsoriasis therapy and malignant lymphoma avoids the unnecessary use of anti-lymphoma chemotherapy.

Original languageEnglish
Article number13
JournalDiagnostic Pathology
Volume3
Issue number1
DOIs
StatePublished - 2008

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