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Borrelial pseudolymphoma of the nose.

BMJ Case Rep. 2015;2015

Authors: Mohanna MT, Kamarashev J, Hofbauer GF

A 52-year-old Colombian woman, a patient with psoriasis, undergoing phototherapy with (ultraviolet B narrowband) UVBnb, presented with a symptomless solitary diffuse erythaematous plaque on her nose for 3 months. Initially, she was treated with pimecrolimus 1% cream for 8 weeks, which was then combined with metronidazole cream for 4 weeks, with the initial diagnosis of UV-triggered rosacea, without improvement. A punch biopsy was performed and the histology showed a pseudolymphomatous reaction. The diagnosis of nasal pseudolymphoma of borreliosis was confirmed with PCR. The lesion completely resolved following oral doxycycline therapy.

PMID: 25568264 [PubMed - in process]

http://www.ncbi.nlm.nih.gov/pubmed/25568264?dopt=Abstract = URL to article

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