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ISSN: 0031-3939
Pediatria Polska - Polish Journal of Paediatrics
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4/2022
vol. 97
 
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abstract:
Case report

Borrelial lymphocytoma in a child

Sylwia Feszak
1
,
Igor Jarosław Feszak
2
,
Radosław Opiła
1
,
Jarosław Peregud-Pogorzelski
1

  1. Department of Pediatrics, Pediatric Oncology, and Immunology, Pomeranian Medical University, Szczecin, Poland
  2. Students’ Scientific Association of Pediatrics, Department of Pediatrics, Pediatric Oncology, and Immunology, Pomeranian Medical University, Szczecin, Poland
Pediatr Pol 2022; 97 (4): 351-355
DOI: https://doi.org/10.5114/polp.2022.123248
Online publish date: 2022/12/30
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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.
keywords:

Poland, Borrelia burgdorferi, child, pseudolymphoma