Lymphomatoid papulosis in a patient treated with glatiramer acetate and the glatiramoid Glatopa for multiple sclerosis: A case report

Author:

Shirani Afsaneh1ORCID,Dalton Scott R2,Avery Eric J3ORCID,Arcot Jayagopal Lakshman1,Meyer Christina4,Stuve Olaf5ORCID,Zabad Rana1

Affiliation:

1. Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE, USA

2. Sagis Dermatopathology, Houston, TX, USA

3. Nebraska Hematology Oncology, Lincoln, NE, USA

4. Dermatology Associates of Lincoln, Lincoln, NE, USA

5. Department of Neurology, University of Texas Southwestern Medical Center, Dallas, TX; VA North Texas Health Care System, Dallas VA Medical Center, Dallas, TX, USA

Abstract

A 48-year-old Caucasian woman with history of multiple sclerosis (MS) presented with erythematous papulonodular lesions in her extremities and trunk. She was being treated with glatiramer acetate (GA) for the past 10 years and the glatiramoid, Glatopa, for 2 years prior to this presentation. A skin biopsy showed CD30+ lymphoproliferative disorder consistent with lymphomatoid papulosis (LyP). Three weeks after stopping Glatopa, her skin lesions were improved. It remains unclear whether GA’s or Glatopa’s capability to alter T-cell differentiation, may have a link with LyP. This case report is a reminder to be vigilant for skin lesions in patients with MS.

Publisher

SAGE Publications

Subject

Management Science and Operations Research,Mechanical Engineering,Energy Engineering and Power Technology

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