Lichenoid dermatitis from immune checkpoint inhibitor therapy: An immune-related adverse event with mycosis-fungoides-like morphologic and molecular features.

Abstract:

:Cutaneous immune-related adverse events (irAEs) are a known consequence of immune checkpoint inhibitor (ICI) therapy and may exhibit a spectrum of morphologic features both clinically and histologically. Lichenoid dermatitis associated with ICI therapy (LD-ICI) is the most frequently encountered histopathologic type of irAE biopsied by dermatologists. There is frequent clinical and histologic overlap between irAEs and several reactive and neoplastic dermatologic disorders; thus, clinical information is essential. LD-ICI with histologic, immunohistochemical, and molecular features typical of mycosis fungoides (MF) are unique. Here, we report a patient who developed LD-ICI with MF-like morphologic features with monoclonal T-cell receptor gene rearrangement on consecutive biopsies during ICI therapy. The development of monoclonal LD-ICI is important for clinicians and pathologists to recognize in patients receiving ICI therapy.

journal_name

J Cutan Pathol

authors

Tetzlaff MT,Tang S,Duke T,Grabell DA,Cabanillas ME,Zuo Z,Yao JC,Nagarajan P,Aung PP,Torres-Cabala CA,Duvic M,Prieto VG,Huen A,Curry JL

doi

10.1111/cup.13536

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

872-877

issue

11

eissn

0303-6987

issn

1600-0560

journal_volume

46

pub_type

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