Table 2. Histopathologic Findings of the Biopsies During Dupilumab Treatment.
| Finding | Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 | Patient 7 | Patient 8 | Patient 9 | Patient 10 | Patient 11 | Patient 12 | Patient 13 | Patient 14 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Diagnosis | LR | LR | LR | LR | LR | LR | LR | LR | LR | LR | LR | MF | MF/LR | MF |
| Eczematous features | ||||||||||||||
| Acanthosis | Moderately present | Mildly present | Severely present | Mildly present | Moderately present | Moderately present | Moderately present | Mildly present | Moderately present | Mildly present | Mildly present | Mildly present | Moderately present | Mildly present |
| Spongiosis | Moderately present | Mildly present | Severely present | Mildly present | Moderately present | Mildly present | Moderately present | Mildly present | Moderately present | Mildly present | Mildly present | Absent | Mildly present | Mildly present |
| Parakeratosis | Moderately present | Mildly present | Severely present | Mildly present | Moderately present | Mildly present | Mildly present | Moderately present | Moderately present | Mildly present | Mildly present | Mildly present | Mildly present | Moderately present |
| Presence of lymphoid infiltrate | Moderately present | Moderately present | Moderately present | Moderately present | Moderately present | Moderately present | Severely present | Moderately present | Severely present | Moderately present | Moderately present | Mildly present | Moderately present | Severely present |
| Distribution lymphoid infiltrate stratum papillare | ||||||||||||||
| Perivascular | Mildly present | Mildly present | Mildly present | Absent | Mildly present | Moderately present | Moderately present | Moderately present | Mildly present | Mildly present | Mildly present | Absent | Mildly present | Mildly present |
| Lichenoid | Moderately present | Moderately present | Moderately present | Severely present | Absent | Absent | Mildly present | Mildly present | Absent | Absent | Absent | Mildly present | Mildly present | Mildly present |
| Intraepithelial T-cell lymphocytes | Mildly present | Mildly present | Mildly present | Mildly present | Moderately present | Mildly present | Severely present | Moderately present | Severely present | Moderately present | Mildly present | Mildly present | Moderately present | Mildly present |
| Lining of cells in basal layer | Mildly present | Absent | Absent | Absent | Absent | Absent | Absent | Absent | Absent | Absent | Mildly present | Mildly present | Moderately present | Mildly present |
| Sprinkled pattern in epithelial layer | Moderately present | Moderately present | Moderately present | Mildly present | Moderately present | Mildly present | Moderately present | Moderately present | Mildly present | Moderately present | Moderately present | Absent | Mildly present | Absent |
| IHC | ||||||||||||||
| CD2, CD3, CD5 | No loss | No loss | No loss | No loss | No loss | No loss | No loss | No loss | No loss | No loss | No loss | CD5a | CD2,a CD5a | CD2a |
| CD4/CD8 ratio | CD4>CD8 | CD4>>>CD8 | CD4>CD8 | CD4>CD8 | CD4<CD8 | CD4>CD8 | CD4<<CD8 | CD4:CD8 | CD4>CD8 | CD4<CD8 | CD4>CD8 | CD4>CD8 | CD4>CD8 | CD4>>>CD8 |
| CD30 expression | Mildly present | Severely present | Moderately present | Moderately present | Mildly present | Mildly present | Moderately present | Moderately present | Mildly present | Mildly present | Moderately present | Absent | Mildly present | Severely present |
Abbreviations: IHC, immunohistochemical staining; LR, lymphoid reaction; MF, mycosis fungoides.
IHC decreased.