Lymphomatoid papulosis associated with myeloid neoplasm with eosinophilia and FIP1L1::PDGFRA rearrangement: Successful imatinib treatment in two cases

J Dermatol. 2023 Oct;50(10):1330-1334. doi: 10.1111/1346-8138.16836. Epub 2023 May 30.

Abstract

Lymphomatoid papulosis (LyP) is a benign condition, listed among primary cutaneous CD30+ lymphoproliferative disorders. Its typical picture consists of relapsing-remitting papular lesions and it can be encountered in the course of a hematologic disease, at times representing its first manifestation. Hypereosinophilic syndromes are a heterogeneous group of disorders characterized by persistent peripheral blood hypereosinophilia that may lead to life-threatening organ damage. Among eosinophilic disorders, the subtype identified as myeloid/lymphoid neoplasm with eosinophilia and tyrosine kinase gene fusions has aroused particular interest due to its excellent response to tyrosine kinase inhibitors, including imatinib. Here, we described the case of two 33-year-old men presenting with LyP and myeloid neoplasm with eosinophilia and FIP1L1::PDGFRA rearrangement who achieved complete clinical and molecular remission of both conditions a few months after starting imatinib.

Keywords: FIP1L1::PDGFRA; hypereosinophilia; imatinib; lymphomatoid papulosis; myeloid neoplasm.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Hypereosinophilic Syndrome* / diagnosis
  • Hypereosinophilic Syndrome* / drug therapy
  • Hypereosinophilic Syndrome* / genetics
  • Imatinib Mesylate / therapeutic use
  • Lymphomatoid Papulosis* / diagnosis
  • Lymphomatoid Papulosis* / drug therapy
  • Lymphomatoid Papulosis* / genetics
  • Male
  • Neoplasm Recurrence, Local / drug therapy
  • Oncogene Proteins, Fusion / genetics
  • Receptor, Platelet-Derived Growth Factor alpha / genetics
  • Transcription Factors

Substances

  • Imatinib Mesylate
  • Receptor, Platelet-Derived Growth Factor alpha
  • Transcription Factors
  • Oncogene Proteins, Fusion