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Cutaneous Lymphoma Associated With Epstein-Barr Virus Infection in 2 Patients Treated With Methotrexate  Anne Tournadre, MD, Michel D'Incan, MD, PhD,

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Presentation on theme: "Cutaneous Lymphoma Associated With Epstein-Barr Virus Infection in 2 Patients Treated With Methotrexate  Anne Tournadre, MD, Michel D'Incan, MD, PhD,"— Presentation transcript:

1 Cutaneous Lymphoma Associated With Epstein-Barr Virus Infection in 2 Patients Treated With Methotrexate  Anne Tournadre, MD, Michel D'Incan, MD, PhD, Jean-Jacques Dubost, MD, Frédéric Franck, MD, Pierre Déchelotte, MD, PhD, Pierre Souteyrand, MD, Martin Soubrier, MD, PhD  Mayo Clinic Proceedings  Volume 76, Issue 8, Pages (August 2001) DOI: / Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions

2 Figure 1 Case 1. Erythematous and purpuric papular eruption.
Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions

3 Figure 2 Case 1. Skin biopsy specimen shows dermal lympho-cytic infiltrate with large cells (hematoxylin-eosin, original magnification ×40). Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions

4 Figure 3 Case 1. Skin biopsy specimen shows large cells expressing CD30 antigen (hematoxylin-eosin, original magnification ×40). Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions

5 Figure 4 Case 1. T-cell receptor γ chain gene rearrangement. Lane 1: blood sample. Lanes 2, 3: 2 lesional skin samples. Lanes 4, 5, 6: positive controls, serial dilutions of RPMI T-cell clonal line diluted in a polyclonal DNA (5%, 10%, 50%, respectively). Lane 7: negative control (water without DNA). Lane 8: negative control (polyclonal DNA). Arrows = T-cell rearrangement in positive controls. Stars = T-cell rearrangement in the skin sample. Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions

6 Figure 5 Case 2. Skin biopsy specimen shows hypodermal perivascular lymphocytic infiltrate with large cells (hematoxylineosin, original magnification ×40). Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions

7 Figure 6 Case 2. In situ hybridization of a skin biopsy specimen shows a strong and diffuse expression of EBER1 RNA (alkaline phosphatase revelation, chromogen/substrate system; BCIP/NBT; counterstain, eosin; original magnification ×40). Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions


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