Erythrodermic Actinic Reticuloid Is Characterized by the Overspill of Oligoclonal CD8+ Lymphocytes Responsive To Ultraviolet Irradiation

  • Iwatsuki, Keiji (Department of Dermatology, Okayama University Graduate School of Medicine and Dentistry) ;
  • Ohtsuka, Mikio (Department of Dermatology, Fukushima Medical University School of Medicine) ;
  • Matsui, Takashi (Department of Dermatology, Fukushima Medical University School of Medicine) ;
  • Yamamoto, Takenobu (Department of Dermatology, Okayama University Graduate School of Medicine and Dentistry) ;
  • Fujii, Kazuyasu (Department of Dermatology, Okayama University Graduate School of Medicine and Dentistry) ;
  • Yamasaki, Osamu (Department of Dermatology, Okayama University Graduate School of Medicine and Dentistry) ;
  • Tsuji, Kazuhide (Department of Dermatology, Okayama University Graduate School of Medicine and Dentistry)
  • Published : 2002.08.01

Abstract

Erythrodermic actinic reticuloid (EAR) is a photosensitive disorder characterized by dense lymphocytic infiltration in the sun-exposed areas and an increased number of atypical lymphocytes in the peripheral blood. We have reported 2 patients with EAR with circulating atypical lymphocytes and photosensitivity to both ultraviolet (UV) B and A. Although no clonal proliferation of T-cells was observed in the peripheral blood, CD8+ cells were increased in number in an oligoclonal fashion. A number of proliferating CD8+ cells were small, but most cells expressed bcl-2. These findings suggest EAR is a photosensitivity dermatitis characterized by the overspill of oligoclonal CD8+ lymphocytes responsive to UV irradiation.

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