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Sézary's Reticulosis: Its Relationship with Neoplasias of the Lymphoreticular System

Sézary's Reticulosis: Its Relationship with Neoplasias of the Lymphoreticular System Abstract Two cases of erythroderma, superficial lymphadenopathy, and abnormal circulating cells similar to Sézary's cells are reported. Skin biopsies of infiltrated lesions in both cases showed the picture of mycosis fungoides. One case regarded as an instance of Sézary's reticulosis eventually revealed a malignant lymphoma, Hodgkin's type, of the lymph nodes, although hematological studies suggested a chronic lymphatic leukemia. Further skin biopsies revealed the picture seen in the tumoral stage of mycosis fungoides or in a reticulum cell lymphoma. The second case had large numbers of monocytoid cells in the blood, and a reticulum cell lymphoma of the lymph nodes. The blood picture was also compatible with the diagnosis of monocytic leukemia. It is suggested that Sézary's reticulosis may not represent a distinct entity, but a syndrome which may be found associated with various neoplastic processes of the lymphoreticular system. The literature on Sézary's reticulosis is reviewed. References 1. Alderson, W. E.; Barrow, G. I.; and Turner, R. L.: Sézary's Syndrome , Brit Med J 1:256, 1955.Crossref 2. Baccaredda, A.: Reticulohistiocytosis Cutanea Hyperplastica Benigna cum Melanodermia , Arch Derm Syph 179:209, 1939.Crossref 3. Belding, H. W.; Daland, G. A.; and Parker, F., Jr.: Histiocytic and Monocytic Leukemia: A Clinical Hematological and Pathological Differentiation , Cancer 8:237, 1955.Crossref 4. Block, J. B.; Edgecomb, J.; Eisen, A.; and Van Scott, E. J.: Mycosis Fungoides: Natural History and Aspects of Its Relationship to Other Maligant Lymphomas , Amer J Med 34:228, 1963.Crossref 5. Bouroncle, B. A.; Wiseman, B. K.; and Doan, C. A.: Leukemic Reticuloendotheliosis , Blood 13: 609, 1958. 6. Brody, J. I.; Cypress, E.; Kimball, S. G.; and McKenzie, D.: The Sézary Syndrome: A Unique Cutaneous Reticulosis , Arch Intern Med 110:205, 1962.Crossref 7. Bureau, Y.; Barrière, H.; and Guenel, J.: La Réticulose erythrodermique avec réticulémie de Sézary , Presse Méd 67:2276, 1959. 8. Epstein, R. D.: An Apparent Case of Chronic Lymphocytic Leukemia Terminating as Hodgkins Disease (Sarcoma) , New York J Med 56:3518, 1956. 9. Gosselin, G. R.; Hanlon, D. G.; and Pease, G. L.: Leukaemic Reticuloendotheliosis , Canad Med Ass J 74:886, 1956. 10. Gray, J. D., and Taylor, S.: Acute Systemic Reticuloendotheliosis Terminating as a Monocytic Leukaemia , Cancer 6:333, 1953.Crossref 11. Hadida, E.; Laffargue, P.; and Chambon, Y.: Reticulohistiocytose maligne leucémique , Bull Soc Franc Derm Syph 56:360, 1949. 12. Israels, M. C. G.: The Reticuloses: A Clinicopathological Study , Lancet 265:525, 1953.Crossref 13. Jaffé, R. H.: " The Reticuloendothelial System ," in Handbook of Hematology, Hall Downey, ed , New York: Paul B. Hoeber, Medical Book Department of Harper & Row, 1938, vol 2, p 977. 14. Janssen, W., and Wüst, G.: Zur Frage Hodgkin-Sarkom oder Retothelsarkom , Virchow Arch Path Anat 329:453, 1956.Crossref 15. Lapière, Von S., and Renkin, A.: Übergang einer chronischen histiomonocytären Hautretikulose nach einer Dauer von 7 Jahren in eine monocytäre, mehr lymphocytoide Leukämie , Hautarzt 11:204, 1960. 16. Main, R. A.; Goodall, H. B.; and Swanson, W. C.: Sézary's Syndrome , Brit J Derm 71:335, 1959.Crossref 17. Marshall, A. H. E.: An Outline of the Cytology and Pathology of the Reticular Tissue , London: Oliver & Boyd Ltd., 1956. 18. Mitus, W. J.; Bergna, L. J.; Mednicoff, I. B.; and Dameshek, W.: Cytochemical Studies of Glycogen Content of Lymphocytes in Lymphocytic Proliferations , Blood 13:748, 1958. 19. Montgomery, H., and Watkins, C. H.: Exfoliative Dermatitis as a Manifestation of Monocytic Leukemia (Schilling) , Proc Mayo Clin 13: 244, 1938. 20. Pierini, L. E.; Abulafia, J.; and Carvalho, A. J.: Eritrodermia Reticulósica , Arch Argent Derm 8:171, 1958. 21. Robb-Smith, A. H. T.: The Reticular Tissue and the Skin , Brit J Derm 56:151, 1944.Crossref 22. Sézary, A., and Bouvrain, Y.: Erythrodermie avec présence de cellules monstreuses dans derme et sang circulant , Bull Soc Franc Derm Syph 45: 254, 1938. 23. Sézary, A.; Horowitz, A.; and Mashas, H.: Erythrodermie avec présence de cellules monstreuses dans derme et dans sang circulant (second cas) , Bull Soc Franc Derm Syph 45:395, 1938. 24. Sézary, A., and Bolgert, M.: Réticulose erythrodermique avec réticulémie , Bull Soc Franc Derm Syph 49:355, 1942. 25. Sézary, A.: Nouvelle réticulose cutanée: Réticulose maligne leucémique à histio-monocytes monstreux et à forme d'erythrodermie oedémateuse et pigmentée , Ann Derm Syph 9:5, 1949. 26. Sugarbaker, E. D., and Craver, L. F.: Lymphosarcoma: A Study of 196 Cases With Biopsy , JAMA 115:17, 1940. 27. Taswell, H. F., and Winkelmann, R. K.: Sézary's Syndrome: A Malignant Reticulemic Erythroderma , JAMA 177:465,1961.Crossref 28. Wilson, H. T. H., and Fielding, J.: Sézary's Reticulosis With Exfoliative Dermatitis , Brit Med J 1:1087, 1953.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Sézary's Reticulosis: Its Relationship with Neoplasias of the Lymphoreticular System

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Publisher
American Medical Association
Copyright
Copyright © 1964 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1964.01590250015004
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Abstract

Abstract Two cases of erythroderma, superficial lymphadenopathy, and abnormal circulating cells similar to Sézary's cells are reported. Skin biopsies of infiltrated lesions in both cases showed the picture of mycosis fungoides. One case regarded as an instance of Sézary's reticulosis eventually revealed a malignant lymphoma, Hodgkin's type, of the lymph nodes, although hematological studies suggested a chronic lymphatic leukemia. Further skin biopsies revealed the picture seen in the tumoral stage of mycosis fungoides or in a reticulum cell lymphoma. The second case had large numbers of monocytoid cells in the blood, and a reticulum cell lymphoma of the lymph nodes. The blood picture was also compatible with the diagnosis of monocytic leukemia. It is suggested that Sézary's reticulosis may not represent a distinct entity, but a syndrome which may be found associated with various neoplastic processes of the lymphoreticular system. The literature on Sézary's reticulosis is reviewed. References 1. Alderson, W. E.; Barrow, G. I.; and Turner, R. L.: Sézary's Syndrome , Brit Med J 1:256, 1955.Crossref 2. Baccaredda, A.: Reticulohistiocytosis Cutanea Hyperplastica Benigna cum Melanodermia , Arch Derm Syph 179:209, 1939.Crossref 3. Belding, H. W.; Daland, G. A.; and Parker, F., Jr.: Histiocytic and Monocytic Leukemia: A Clinical Hematological and Pathological Differentiation , Cancer 8:237, 1955.Crossref 4. Block, J. B.; Edgecomb, J.; Eisen, A.; and Van Scott, E. J.: Mycosis Fungoides: Natural History and Aspects of Its Relationship to Other Maligant Lymphomas , Amer J Med 34:228, 1963.Crossref 5. Bouroncle, B. A.; Wiseman, B. K.; and Doan, C. A.: Leukemic Reticuloendotheliosis , Blood 13: 609, 1958. 6. Brody, J. I.; Cypress, E.; Kimball, S. G.; and McKenzie, D.: The Sézary Syndrome: A Unique Cutaneous Reticulosis , Arch Intern Med 110:205, 1962.Crossref 7. Bureau, Y.; Barrière, H.; and Guenel, J.: La Réticulose erythrodermique avec réticulémie de Sézary , Presse Méd 67:2276, 1959. 8. Epstein, R. D.: An Apparent Case of Chronic Lymphocytic Leukemia Terminating as Hodgkins Disease (Sarcoma) , New York J Med 56:3518, 1956. 9. Gosselin, G. R.; Hanlon, D. G.; and Pease, G. L.: Leukaemic Reticuloendotheliosis , Canad Med Ass J 74:886, 1956. 10. Gray, J. D., and Taylor, S.: Acute Systemic Reticuloendotheliosis Terminating as a Monocytic Leukaemia , Cancer 6:333, 1953.Crossref 11. Hadida, E.; Laffargue, P.; and Chambon, Y.: Reticulohistiocytose maligne leucémique , Bull Soc Franc Derm Syph 56:360, 1949. 12. Israels, M. C. G.: The Reticuloses: A Clinicopathological Study , Lancet 265:525, 1953.Crossref 13. Jaffé, R. H.: " The Reticuloendothelial System ," in Handbook of Hematology, Hall Downey, ed , New York: Paul B. Hoeber, Medical Book Department of Harper & Row, 1938, vol 2, p 977. 14. Janssen, W., and Wüst, G.: Zur Frage Hodgkin-Sarkom oder Retothelsarkom , Virchow Arch Path Anat 329:453, 1956.Crossref 15. Lapière, Von S., and Renkin, A.: Übergang einer chronischen histiomonocytären Hautretikulose nach einer Dauer von 7 Jahren in eine monocytäre, mehr lymphocytoide Leukämie , Hautarzt 11:204, 1960. 16. Main, R. A.; Goodall, H. B.; and Swanson, W. C.: Sézary's Syndrome , Brit J Derm 71:335, 1959.Crossref 17. Marshall, A. H. E.: An Outline of the Cytology and Pathology of the Reticular Tissue , London: Oliver & Boyd Ltd., 1956. 18. Mitus, W. J.; Bergna, L. J.; Mednicoff, I. B.; and Dameshek, W.: Cytochemical Studies of Glycogen Content of Lymphocytes in Lymphocytic Proliferations , Blood 13:748, 1958. 19. Montgomery, H., and Watkins, C. H.: Exfoliative Dermatitis as a Manifestation of Monocytic Leukemia (Schilling) , Proc Mayo Clin 13: 244, 1938. 20. Pierini, L. E.; Abulafia, J.; and Carvalho, A. J.: Eritrodermia Reticulósica , Arch Argent Derm 8:171, 1958. 21. Robb-Smith, A. H. T.: The Reticular Tissue and the Skin , Brit J Derm 56:151, 1944.Crossref 22. Sézary, A., and Bouvrain, Y.: Erythrodermie avec présence de cellules monstreuses dans derme et sang circulant , Bull Soc Franc Derm Syph 45: 254, 1938. 23. Sézary, A.; Horowitz, A.; and Mashas, H.: Erythrodermie avec présence de cellules monstreuses dans derme et dans sang circulant (second cas) , Bull Soc Franc Derm Syph 45:395, 1938. 24. Sézary, A., and Bolgert, M.: Réticulose erythrodermique avec réticulémie , Bull Soc Franc Derm Syph 49:355, 1942. 25. Sézary, A.: Nouvelle réticulose cutanée: Réticulose maligne leucémique à histio-monocytes monstreux et à forme d'erythrodermie oedémateuse et pigmentée , Ann Derm Syph 9:5, 1949. 26. Sugarbaker, E. D., and Craver, L. F.: Lymphosarcoma: A Study of 196 Cases With Biopsy , JAMA 115:17, 1940. 27. Taswell, H. F., and Winkelmann, R. K.: Sézary's Syndrome: A Malignant Reticulemic Erythroderma , JAMA 177:465,1961.Crossref 28. Wilson, H. T. H., and Fielding, J.: Sézary's Reticulosis With Exfoliative Dermatitis , Brit Med J 1:1087, 1953.Crossref

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Archives of Dermatology – American Medical Association

Published: Jan 1, 1964

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