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.