Bilateral Jessner lymphocytic infiltration in the ear lobes: A case report and Literature review

Year 2014, , - , 01.06.2014

Betül Demir Haydar Uçak Özgen Solmaz İlker Erden

https://doi.org/10.5799/ahinjs.01.2014.02.0410

Abstract

Jessner lymphocytic infiltration is a disease characterized by a histopathological lymphocytic infiltration presenting with papules and plaques. The disease is diagnosed with biopsy via histopathologically showing the cutaneous lymphocytic infiltration. A 49-year-old male patient presented to dermatology outpatient clinic with redness and swelling in both ear lobes. The dermatologic examination showed erythematous, edematous and soft papules in the left post auricular region and in both ear lobes. The skin biopsy applied on the lesion revealed CD3 (+) T lymphocytes and the patient was diagnosed with Jessner lymphocytic infiltration. We present this case due to fact that bilateral Jessner infiltration in the ear lobes is a rare pathology. J Clin Exp Invest 2014; 5 (2): 313-315

Keywords

Jessner, Lymphocytic infiltration, Kanof

Bilateral kulak memesi yerleşimli Jessner lenfositik infiltrasyonu: Olgu sunumu ve Literatür taraması

Abstract

Jessner lenfositik infiltrasyonu klinik olarak asemptomatik papül ve plaklarla, histopatolojik olarak da lenfositik infiltrasyonla karakterize bir hastalıktır. Hastalığın tanısı biyopsi ile histopatolojik olarak deride lenfositik infiltrasyonun gösterilmesi ile konmaktadır. Kırk dokuz yaşında erkek hasta dermatoloji polikliniğine her iki kulak memesinde kızarıklık ve kabarıklık şikâyeti ile başvurdu. Hastanın dermatolojik muayenesinde bilateral kulak memesi ve sol postauriküler bölgede eritemli, ödemli, yumuşak kıvamlı, papüller mevcuttu. Lezyonun deri biyopsisinde histopatolojik olarak CD3 (+) T lenfositler görüldü ve hastaya Jessner lenfositik infiltrasyonu tanısı kondu. Jessner lenfositik infiltrasyonun bilateral kulak memesi yerleşiminin nadir görülmesi nedeniyle olguyu sunmayı uygun bulduk.

Keywords

Jessner, Lenfositik infiltrasyon, Kanof

References

• Bagot M, Revuz J. Jessner-Kanof lesion and Borellia infection. J Am Acad Dermatol 1990;23:772-773.
• Lipsker D, Mitschler A, Grosshans E, Cribier B. Could Jessner’s lymphocytic infiltrate of the skin be a dermal variant of lupus erythematosus? An analysis of 210 cases. Dermatology 2006;213:15-22.
• Toonstra J, Wildschut A, Boer J, et al. Jessner’s lym- phocytic infiltration of the skin. A clinical study of 100 patients. Arch Dermatol 1989;125:1525-1530.
• Dippel E, Poenitz N, Klemke CD, et al. Familial lym- phocytic infiltration of the skin: histochemical and molecular analysis in three brothers. Dermatology 2002;204:12-16.
• Falco OB, Plewig G, Wolff HH, Burgdorf WHC. Derma- tology, 3rd edn. Berlin: Springer-Verlag, 2000: 1603- 1609.
• Ashworth J, Morley WN. Jessner and Kanof’s lympho- cytic infiltration of the skin: a familial variant. Dermato- logica 1988;177:120-122.
• Remy-Leroux V, Leonard F, Lambert D, et al. Compari- son of histopathologic-clinical characteristics of Jess- ner’s lymphocytic infiltration of the skin and lupus ery- thematosus tumidus: multicenter study of 46 cases. J Am Acad Dermatol 2008;58:217-223.
• Jessner M, Kanof B. Lymphocytic infiltration of the skin. Arch Dermatol 1953;68:447-449.
• Ghiringhelli F, Menarg C, Puig PE, et al. Metronom- ic cyclophosphamide regimen selectively depletes CD4+CD25+ regulatory T cells, restores T, NK effec- tor functions in end stage cancer patients. Cancer Im- munol Immunother 2007;56:641-648.
• Ziemer M, Eisendle K, Müller H, Zelger B. Lympho- cytic infiltration of the skin (Jessner-Kanof) but not reticular erythematous mucinosis occasionally rep- resents clinical manifestations of Borrelia-associated pseudolymphoma. Br J Dermatol 2009;161:583-590.
• Kaatz M, Zelger B, Norgauer J, Ziemer M. Lympho- cytic infiltration (Jessner-Kanof): lupus erythematosus tumidus or a manifestation of borreliosis? Br J Derma- tol 2007;157:1304.
• Singh K, Dawar R, Ramesh V. Lymphocytic infiltration of skin of Jessner-Kanof masquerading as borderline leprosy. Indian J Lepr 1985;57:804-806.
• Sparsa L, Afif N, Goetz J, et al. Jessner-Kanof disease induced by leflunomide: a dermal variant of cutaneous lupus? Rheumatol Int 2011;31:255-258.
• Schepis C, Lentini M, Siragusa M, Batolo D. ACE inhibitor-induced eruption resembling lymphocytic in- filtration (of Jessner-Kanof) and lupus erythematosus tumidus. Dermatology 2004;208:354-355.
• Nolden S, Casper C, Kuhn A, Petereit HF. Jessner- Kanof lymphocytic infiltration of the skin associated with glatiramer acetate. Mult Scler 2005;11:245-248.
• Caroli UM, Berner D, Schlegel C, et al. Lymphocytic infiltration of the skin Jessner-Kanof after treatment with a hydroquinone containing bleaching cream. Arch Dermatol 2006;142:1655-1656.
• Weinberg JM, Rokk AH, Lessin SR. Molecular diagno- sis of lymphocytic infiltrates of the skin. Arch Dermatol 1993;129:1491-1500.
• Odom RB, James WD, Berger TG. Andrew’s Disease of the skin, 9th edn. Philadelphia: WB Saunders Com- pany, 2000:918-942.
• Ardavanis A, Orphanos G, Skafida S, et al. Coinciden- tial successful treatment of Jessner–Kanof disease with chemotherapy. Ann Oncol 2008;19:1360-1361.
• Michel JL, Perrin D. Pulsed dye laser treatment for Jessner’s lymphocytic infiltration of the skin. Ann Der- matol Venereol 2010;137:803-807.