Tehran University of Medical Sciences

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A Rare Case of Primary Cutaneous Cd4+ Small/Medium Size T-Cell Lymphoproliferative Disorder Responding to Rituximab Publisher



Alzahawi S1 ; Masoomi S1 ; Ghanadan A2 ; Sadeghi Y1 ; Daneshpazhooh M1, 3 ; Mahmoudi H1, 3
Authors

Source: Case Reports in Dermatology Published:2025


Abstract

Introduction: Primary cutaneous CD4+ small/medium T-cell lymphoproliferative disorder is a rare lymphoproliferative disorder (PCS-TCLPD) characterized by a solitary erythematous plaque or nodule on the face, neck, or upper trunk with a favorable outcome. Very rarely, multiple plaques or masses may be seen in which precise evaluation should be performed to exclude other primary cutaneous lymphoma. Case Presentation: Here we report a rare case of recalcitrant primary cutaneous small-/ medium-sized CD4+ lymphoproliferative disorder in a 55-year-oldmale patient who responded well to rituximab injection but had recurrence after 1 year from the injections. Conclusion: Aggressive treatment is avoided in solitary lesions of PCS-TCLPD, but multiple lesions with no response to the conventional modalities may need more sophisticated management, including anti-CD20 rituximab. © 2025 The Author(s).