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4/2022
vol. 97 abstract:
Case report
Borrelial lymphocytoma in a child
Sylwia Feszak
1
,
Igor Jarosław Feszak
2
,
Radosław Opiła
1
,
Jarosław Peregud-Pogorzelski
1
Pediatr Pol 2022; 97 (4): 351-355
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 |
POLSKI
