Yanakta kaşıntılı arkiform eritemli plak lezyon: Jessner-Kanof Hastalığı
Öz
Jessner'in lenfositik infiltrasyonu (JLİ) sıklıkla baş boyun bölgesinde yerleşim gösteren pembe-donuk
kırmızı renkte papül, plak ya da nodüler lezyonlarla karakterize, asemptomatik, kronik seyirli
lenfoproliferatif bir dermatozdur. Hastalığın farklı bir antite mi olduğu yoksa diskoid lupus eritematozus ya
da polimorf ışık erüpsiyonu spektrumuna ait bir tablo mu olduğu net değildir. 34 yaşında bayan hasta yüzün
sağ tarafında hafif kaşıntılı kızarıklık ve kabarıklık şikâyeti ile kliniğimize başvurdu. Klinik ve
histopatolojik bulgularla hastaya Jessner'in lenfositik infiltrasyonu tanısı kondu. Bu olgu sunumunda
Jessner'in lenfositik infiltrasyonunun klinik ve histopatolojik özellikleri vurgulanmakta, klinik ve
histopatolojik olarak benzediği dermatozlar ile ayrıt edici özellikleri tartışılmaktadır.
Anahtar Kelimeler
Kaynakça
- 1) Shakhnes IE, Malygina LA. [Jessner-Kanof lymphocytic infiltration]. Vestn Dermatol Venerol. 1985(2):66-8. 2) Pietrzykowska A, Smigla A. [Lymphocytic infiltration Jessner-Kanof]. Przegl Dermatol. 1967;54(3):361-8. 3) 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(1):15-22. 4) Toonstra J, Wildschut A, Boer J, Smeenk G, Willemze R, van der Putte SC, et al. Jessner's lymphocytic infiltration of the skin. A clinical study of 100 patients. Arch Dermatol. 1989;125(11):1525-30. 5) Toonstra I, van der Putte SC, de la Faille HB, van Vloten WA. Familial Jessner's lymphocytic infiltration of the skin, occurring in a father and daughter. Clin Exp Dermatol. 1993;18(2):142-5. 6) Remy-Leroux V, Leonard F, Lambert D, Wechsler J, Cribier B, Thomas P, et al. Comparison of histopathologic-clinical characteristics of Jessner's lymphocytic infiltration of the skin and lupus erythematosus tumidus: Multicenter study of 46 cases. J Am Acad Dermatol. 2008;58(2):217-23. 7) Poenitz N, Dippel E, Klemke CD, Qadoumi M, Goerdt S. Jessner's lymphocytic infiltration of the skin: a CD8+ polyclonal reactive skin condition. Dermatology. 2003;207(3):276-84. 8) Romanenko VN, Protsenko TV. [Acase of Jessner-Kanof lymphocytic infiltration of the skin]. Vestn Dermatol Venerol. 1988(5):55-7. 9) Viljaranta S, Ranki A, Kariniemi AL, Nieminen P, Johansson L. Distribution of natural killer cells and lymphocyte subclasses in Jessner's lymphocytic infiltration of the skin and in cutaneous lesions of discoid and systemic lupus erythematosus. Br J Dermatol. 1987;116(6):831-8. 10) Tenhave-Opbroek AA. [Thoughts on the differential diagnosis of chronic discoid lupus erythematosus and "lymphocytic infiltration of the skin" (Jessner), among other things by using fluorescent microscopy]. Ned Tijdschr Geneeskd. 1965;109(36):1677. 11) Schepis C, Lentini M, Siragusa M, Batolo D. ACEinhibitor-induced drug eruption resembling lymphocytic infiltration (of Jessner-Kanof) and Lupus e r y t h e m a t o s u s t u m i d u s. D e r m a t o l o g y. 2004;208(4):354-5. 12) Abele DC, Anders KH, Chandler FW. Benign lymphocytic infiltration (Jessner-Kanof): another manifestation of borreliosis? J Am Acad Dermatol. 1989;21(4 Pt 1):795-7. 13) Caroli UM, Berner D, Schlegel C, Metzler G, Rocken M, Biedermann T. Lymphocytic infiltration of the skin Jessner-Kanof after treatment with a hydroquinone-containing bleaching cream. Arch Dermatol. 2006;142(12):1655-6. 14) Kuo TT, Lo SK, Chan HL. Immunohistochemical analysis of dermal mononuclear cell infiltrates in cutaneous lupus erythematosus, polymorphous light eruption, lymphocytic infiltration of Jessner, and cutaneous lymphoid hyperplasia: a comparative differential study. J Cutan Pathol. 1994;21(5):430-6. 15) Castri M, Silvestri T. [Clinical, histological and ultrastructural aspects of a case of Jessner-Kanof cutaneous lymphocytic infiltration]. Pathologica. 1980;72(1022):875-9. 1 6 ) Will emz e R, Ve rme e r BJ, Me ij e r CJ. Immunohistochemical studies in lymphocytic infiltration of the skin (Jessner) and discoid lupus erythematosus. A comparative study. J Am Acad Dermatol. 1984;11(5 Pt 1):832-40. 17) Borges da Costa J, Boixeda P, Moreno C. Pulsed-dye laser treatment of Jessner lymphocytic infiltration of the skin. J Eur Acad Dermatol Venereol. 2009;23(5):595-6. 18) Rai VM, Balachandran C. Multiple infiltrated nodules and plaques. Lymphocytic infiltrate of Jessner. Dermatol Online J. 2006;12(7):26.
Ayrıntılar
Birincil Dil
Türkçe
Konular
-
Bölüm
Olgu Sunumu
Yayımlanma Tarihi
15 Nisan 2015
Gönderilme Tarihi
29 Nisan 2014
Kabul Tarihi
17 Temmuz 2014
Yayımlandığı Sayı
Yıl 2015 Cilt: 12 Sayı: 1