Exaggerated arthropod assault: Eosinophilic dermatosis in a patient with small lymphocytic lymphoma

Abstract

Key Clinical MessageDermatologic reactions are commonly encountered in clinical practice. Providers must be aware of both the common and uncommon etiologies leading to these eruptions, particularly in patients with underlying malignancies. Establishing the appropriate etiology directs treatment of these conditions, which may be therapy directed at the malignancy itself.

A unique case of subcutaneous panniculitis-like T-cell lymphoma presenting as an abscess following an arthropod bite

“…Although the exact pathophysiology is unclear, it is postulated to be a type IV delayed hypersensitivity reaction as cutaneous lesions are rich in both T cell and eosinophilic infiltration [12][13][14]. In the case of our patient, follow-up thus far has not revealed an occult systemic lymphoproliferative disease.…”