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. 2020 Jul 1;13(7):1915–1923.

Table 1.

The main clinical features of the 17 FL patients with PNP or BO

Case Num. References Age Gender Clinical stage FL Level Diagnostic Time of PNP Diagnostic Time of BO Treatment Plan Curative effect Prognosis
1 Moustafa, et al. [6] 68 M Unknown I Simultaneous diagnosis with tumor Unknown B*/R*→R*/Prednisone Improvement of skin lesion Died of infectious complications 10 months after diagnosis.
Tumor shrinking
The symptoms of infection are still repeated.
2 Lee, et al. [7] 53 M IVA Unknown Simultaneous diagnosis with tumor Simultaneous diagnosis with PNP R-CHOP* Complete remission of tumor, stomatitis, other skin lesions and BO are persistent existence. Died of respiratory failure caused by BO 27 months after diagnosis.
3 Borradori, et al. [8] 61 F Unknown I Simultaneous diagnosis with tumor Unknown P*→CHOP*/antibiotics/Cyclosporin/0.5% Retinaldehyde/Sucralfate→R* The tumor was relieved and there was no progress. Stomatitis and palmar erythema were relieved and the patient was well tolerated by rituximab. Unknown
4 Aoi, et al. [9] 60 M Unknown Unknown Simultaneous diagnosis with tumor Unknown P*→P*/R*→R* combined with chemotherapy The condition improved and the skin lesion recovered. The FL was relieved partly. Unknown
5 Lim, et al. [10] 58 M Unknown Unknown Simultaneous diagnosis with tumor 1 week after PNP diagnosis Before BO: R-CHOP* Atypical pneumonia caused by cytomegalovirus infection one week after treatment. Died of septic shock one month after diagnosis of BO.
After BO: R-CHOP*
6 Lachenal, et al. [11] 52 F Unknown Unknown Simultaneous diagnosis with tumor Unknown R-CHOP* The skin lesions were improved obviously, the oral erosion was improved, but the tumor reaction was unknown. Unknown
7 Higo, et al. [12] 77 F Unknown Unknown Simultaneous diagnosis with tumor Unknown R-CHOP*→Bendamustine/R*→Prednisone The skin lesion recovered and the mucosal rash did not improve. Unknown
8 Morikawa, et al. [13] 65 F IIIA Unknown Simultaneous diagnosis with tumor 5 months after FL diagnosis Before BO: R-CHOP*→R*→R-CVP* The tumor shrank and the symptoms such as conjunctivitis, oral mucosal ulcer and the rash improved. Unknown
After BO: Palliative and symptomatic treatment
9 Jain, et al. [14] 60 M IVB I 29 months after FL diagnosis Unknown Bendamustine/R*→R* The tumor was remission completely at the beginning and relapsed after 18 months. Unknown
10 Hirano, et al. [15] 60 M Unknown Unknown Simultaneous diagnosis with tumor 3 months after FL diagnosis Before BO: R*/Prednisone The blisters disappeared completely and the autoantibodies decreased to the normal level. Died 7 months after the diagnosis of BO.
After BO: Plasma exchange But the BO appeared later.
→R-CHOP*→Bendamustine/R*
11 Hoque, et al. [16] 49 F Unknown Unknown 9 years after FL diagnosis Unknown CHOP*→Radiotherapy/F*/Mitoxanone/Prednisone→F→R-CVP* The tumor was completely relieved, the rash improved after treatment, but the general condition of the patient was poor. After the occurrence of PNP, the condition worsened and the patient died after palliative treatment.
12 Martínez, et al. [17] 70 F IVA I 4 years after FL diagnosis Unknown CHOP*→Chlorambutyronitrile→P The tumor was completely relieved, the skin blisters disappeared, but the lesions of oral mucosa persisted. 40 months after the diagnosis of PNP, there was no recurrence of skin and mucosal lesions.
13 Prodanovic, et al. [18] 73 M IV I 3 years after FL diagnosis Unknown R*/F*/D*/Mitoxantrone/Granisetron→R* The tumor was relieved, the skin blisters were cured and there was no recurrence during the follow-up period. Unknown
14 Maruta, et al. [19] 70 M IVB Unknown 5 years after FL diagnosis Unknown Chlorambutyronitrile/C*/O*→P*/F*/Chlorambutyronitrile→P*/Radiotherapy→Chlorambutyronitrile/P*→D*/Azathioprine→R*/P* The tumor was relieved, the skin lesions were improved, but the oral mucosal lesions were relieved very little. Died of left heart failure and pulmonary edema 9 months after the diagnosis of PNP.
15 Heizmann, et al. [20] 73 F Unknown Unknown Simultaneous diagnosis with tumor Unknown P*/C*→R*/P* The tumor was relieved partly and conjunctival and mucosal erosion recovered completely. Unknown
16 Barnadas, et al. [21] 77 F IIB Unknown Later than FL diagnosis time, the certain time is unknown Unknown Chlorophenylbutyronitrile→P*/Valaciclovir→R*/P*→P*/Cyclosporin The tumor was relieved partly and the oral ulcer was completely cured. The patient died 42 months after the FL diagnosis. The cause of death is unknown, but acid-fast bacilli is active.
17 Present case 54 F IV I-II Simultaneous diagnosis with tumor 11 months after FL diagnosis R-CHOP* and so on The FL was relieved and mucositis and vulvar lesions were improved. Died of respiratory failure caused by BO 11 months after the diagnosis of PNP.
*

R: Rituximab; C: Cyclophosphamide; O/V: Vincristine; P: Prednisone; D: Dexamethasone; F: Fludarabine.