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.