Borrelia-lymfocytoom

Translated title of the contribution: Borrelial lymphocytoma

Ellen J H Schatorjé*, Herjan van der Steeg, Foekje Stelma, Konnie Hebeda, Adilia Warris

*Corresponding author for this work

Research output: Contribution to journalArticle

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Abstract

Borrelial lymphocytoma is a relatively rare but typical presentation of Lyme disease. Predilection sites are the ears in children and chest/nipples in adults. It is treated like an erythema migrans and has a good prognosis. A 16-year-old boy presented with a swollen, red and painful right nipple since several months. An ultrasound showed normal breast tissue. The patient was referred to the pediatric surgeon who performed an incision biopsy. Histopathological examination revealed follicular hyperplasia without signs of malignancy. An infectious cause, most likely Lyme disease, was suspected. Serological analysis and PCR of the tissue confirmed the diagnosis of a borrelial lymphocytoma, and the patient was treated with doxycycline with good result. Early recognition of the characteristic clinical presentation of borrelial lymphocytoma, supported by positive results from serologic testing for Lyme disease, avoids the need for additional and invasive diagnostic tests.

Original languageOther
Article numberA6605
JournalNederlands tijdschrift voor geneeskunde
Volume157
Issue number52
Publication statusPublished - 2013

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Schatorjé, E. J. H., van der Steeg, H., Stelma, F., Hebeda, K., & Warris, A. (2013). Borrelia-lymfocytoom. Nederlands tijdschrift voor geneeskunde, 157(52), [A6605].