Table 2 Differential diagnosis of primary cutaneous EBV+ B-cell lymphoproliferative diseases

From: Navigating the cutaneous B-cell lymphomas: avoiding the rocky shoals

 

MCU

Plasmablastic

EBV + MZL

EBV+ cells

Pleomorphic

Monomorphic

Plasmacytoid

HRS like

Immunoblastic

Small/Medium

Latency

LMP1-pos

LMP1-neg

LMP1-rare pos

Background T cells

Abundant

Absent

Few

Epithelium/Skin

Ulcerated

Intact

Subcutaneous

Deep dermal

Clinical

Elderly+/− immunosuppression

Immunodeficient or elderly

Diverse causes of immune deficiency

Prognosis

Good

Poor

Good

Waxing and Waning

 

Reduce immunosuppression

  1. MCU mucocutaneous ulcer, LMP1 latent membrane protein 1, HRS like Hodgkin/Reed–Sternberg like