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- Title
Borrelial lymphocytoma in a child.
- Authors
Feszak, Sylwia; Feszak, Igor Jarosław; Opiła, Radosław; Peregud-Pogorzelski, Jarosław
- Abstract
Borrelial lymphocytoma (BL) is a rare manifestation of Lyme disease characterized by pathological lymphoproliferation on the skin (a type of cutaneous pseudolymphoma) in reaction to a Borrelia infection. It usually manifests itself as red plaques or swollen nodules, most commonly located on the ear lobes, genitals, or around the nipples. We describe a case of a 5-year-old girl with a painful erythematous nodule of the right auricle. The initial symptomatic treatment (with antihistamines and topical anti-inflammatory agents) resulted in temporary partial relief. There was a history of tick bites 3 and 5 months prior to the first manifestation of the disease. A positive serology test result for Borrelia burgdorferi (both chemiluminescent immunoassay and Western-Blot) led to the diagnosis of BL. The administration of an oral antibiotic therapy resulted in the quick disappearance of the lesion.
- Subjects
LYMPHATIC disease diagnosis; SKIN disease diagnosis; COMMUNICABLE disease diagnosis; SKIN diseases; TICK-borne diseases; EXTERNAL ear; COMMUNICABLE diseases; ERYTHEMA; ORAL drug administration; LYME disease; ANTI-inflammatory agents; SERODIAGNOSIS; CHEMILUMINESCENCE assay; WESTERN immunoblotting; COVID-19 vaccines; CUTANEOUS manifestations of general diseases; ANTIHISTAMINES; BORRELIA diseases; LYMPHATIC diseases; IMMUNOASSAY; CUTANEOUS therapeutics; AMOXICILLIN; RARE diseases; SYMPTOMS; THERAPEUTICS
- Publication
Polish Journal of Pediatrics / Pediatria Polska, 2022, Vol 97, Issue 4, p351
- ISSN
0031-3939
- Publication type
Article
- DOI
10.5114/polp.2022.123248