Jessner’in lenfositik infiltrasyonu

Yıl 2022, Cilt: 15 Sayı: 2, 383 - 389, 01.04.2022

Erdem ÇOMUT Nursinem ALKAN Hülya CENK Neşe DEMİRKAN

https://doi.org/10.31362/patd.1035755

Öz

Jessner’in lenfositik infiltrasyonunun patofizyolojisi henüz bilinmemekle birlikte; genetik, otoimmün, ilaç kullanımı gibi etyolojik nedenlerin sorgulandığı nadir görülen bir antitedir. Bu antite hem klinik hem de histopatolojik olarak başta diskoid lupus eritematozus, polimorf ışık erüpsiyonu ve psödolenfomalar olmak üzere birçok hastalık ile karışabilir. Bu makalede Jessner’in lenfositik infiltrasyonu tanısı almış 26 yaşında bir erkek hastanın klinik özellikleri, ayırıcı tanısı ve tedavisi literatür bilgileri ışığında tartışılmıştır. 

Anahtar Kelimeler

Jessner, Lenfositik infiltrasyon, lupus eritematozus, psödolenfoma

Jessner's lymphocytic infiltrate

Öz

Although the pathophysiology of Jessner's lymphocytic infiltration (JLI) is not yet known; It is a rare entity in which etiological reasons such as genetic, autoimmune and drug use are questioned. JLI can be confused with many diseases, especially discoid lupus erythematosus, polymorphous light eruption and pseudolymphomas both clinically and histopathologically. In this article, the clinical features, differential diagnosis and treatment of a 26-year-old male patient diagnosed with JLI are discussed in the light of the literature.

Anahtar Kelimeler

Jessner, Lymphocytic Infiltration, lupus erythematosus, pseudolymphoma

Kaynakça

• 1. Petersen MP, Vestergaard V, Bygum A. Jessner lymphocytic infiltration - rare in childhood. Dermatol Online J. 2017;23(10). http://dx.doi.org/10.5070/D32310037005
• 2. Ashworth J, Morley WN. Jessner and kanof’s lymphocytic infiltration of the skin: a familial variant. Dermatology. 1988;177: 120-122. https://doi.org/10.1159/000248527
• 3. Tomasini D, Mentzel T, Hantschke M, et al. Plasmacytoid dendritic cells: an overview of their presence and distribution in different inflammatory skin diseases, with special emphasis on jessner’s lymphocytic infiltrate of the skin and cutaneous lupus erythematosus. J Cutan Pathol. 2010;37: 1132-1139. https://doi.org/10.1111/j.1600-0560.2010.01587.x
• 4. Abbad N, Lanal T, Brenuchon C, Morel G, Deprez X. Etanercept-induced lymphocytic ınfiltration of jessner-kanof. Arthritis Rheumatol. 2018;70(3):449. https://doi.org/10.1002/art.40347
• 5. Guarneri C, Lentini M, Polimeni G, Giuffrida R, Cannavò SP. Ustekinumab-induced drug eruption resembling lymphocytic infiltration (of jessner-kanof) and lupus erythematosus tumidus. Br J Clin Pharmacol. 2016;81:792-794. https://doi.org/10.1111/bcp.12837
• 6. 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. https://doi.org/10.1007/s00296-009-1169-z 7. Konttinen Yt, Reitamo S, Rankı A, Segerberg-Kontinen M. T Lymphocytes and mononuclear phagocytes in the skin infiltrate of systemic and discoid lupus erythematosus and jessner’s lymphocytic infiltrate. Br J Dermatol. 1981;104:141-146. https://doi.org/10.1111/j.1365-2133.1981.tb00035.x
• 8. 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;207:276-284. https://doi.org/10.1159/000073090
• 9. Rémy-Leroux V, Léonard F, Lambert D, 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;58:217-223. https://doi.org/10.1016/j.jaad.2007.09.039
• 10. 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. https://doi.org/10.1159/000092832
• 11. Hıggıns Cr, Pwakeel Ra, Cerio R. Childhood jessner’s lymphocytic infiltrate of the skin. Br J Dermatol 1994;131:99-101. https://doi.org/10.1111/j.1365-2133.1994.tb08464.x
• 12. Toonstra J, Wildschut A, Boer J, et al. Jessner’s lymphocytic infiltration of the skin: a clinical study of 100 patients. Arch Dermatol 1989;125:1525-1530. https://doi.org/10.1001/archderm.1989.01670230067010
• 13. Willemze R, Dıjkstra A, Meijer Cjlm. Lymphocytic infiltration of the skin (jessner): a t‐cell lymphoproliferative disease. Br J Dermatol 1984;110:523-529. https://doi.org/10.1111/j.1365-2133.1984.tb04674.x
• 14. Sugioka K, Hayashi A, Ichishi M, Sugimoto Y, Habe K, Yamanaka K. Three cases of lymphocytic ınfiltration of the eyelid. Dermatopathology 2021;8:124-129 https://doi.org/10.3390/dermatopathology8020018
• 15. Pereira A, Ferrara G, Calamaro P, et al. The histopathological spectrum of pseudolymphomatous infiltrates in cutaneous lupus erythematosus Am J Dermatopathol. 2018;40:247-253. https://doi.org/10.1097/DAD.0000000000000942
• 16. Kunz M, Henseleit-Walter U, Sorg C, Kolde G. Macrophage marker 27E10 on human keratinocytes helps to differentiate discoid lupus erythematosus and jessner’s lymphocytic infiltration of the skin. Eur J Dermatology 1999;9:107-110.
• 17. Yves M, Larsn F, Jean‐Hilaire S. Leu 8‐positive cells in discoid lupus erythematosus and jessner‐kanof’s lymphocytic infiltrate of the skin. J Cutan Pathol 1988;15:412-413. https://doi.org/10.1111/j.1600-0560.1988.tb00576.x
• 18. Akasu R, Kahn HJ, From L. Lymphocyte markers on formalin‐fixed tissue in jessner’s lymphocytic infiltrate and lupus erythematosus. J Cutan Pathol 1992;19:59-65. https://doi.org/10.1111/j.1600-0560.1992.tb01560.x
• 19. Oliveira CC, Ianhez PE de C, Marques SA, Marques MEA. Granuloma faciale: Clinical, morphological and immunohistochemical aspects in a series of 10 patients. An Bras Dermatol 2016;91(6). https://doi.org/10.1590/abd1806-4841.20164628
• 20. Awotesu S, Dubois V, El-Hindy N, Watts M. Jessner’s lymphocytic infiltrate: A rare cause of lid ectropion. BMJ Case Rep 2010. https://doi.org/10.1136/bcr.07.2009.2064