An update on Epstein-Barr virus-and human T-lymphotropic virus type-1-induced cutaneous manifestations. CME Part II

J Am Acad Dermatol. 2023 May;88(5):983-998. doi: 10.1016/j.jaad.2022.07.063. Epub 2022 Aug 29.

Abstract

The Epstein-Barr virus (EBV) is a DNA virus that infects 90% of the human population, is responsible for certain cutaneous lymphomas (extranodal NK/T-cell lymhoma, hydroa vacciniforme lymphoproliferative disorder, lymphomatoid granulomatosis, others), and can be associated with a variety of cutaneous manifestations (eg, infectious mononucleosis, severe mosquito bite allergy, chronic active EBV disease, Gianotti-Crosti syndrome). EBV-related skin disorders are frequent in certain populations (South and Cental America, Africa, Asia, and Oceania) and can be diagnostically challenging. The human T-lymphotropic virus type-1 is a retrovirus, which is known to be associated with adult T-cell leukemia/lymphoma, neurologic disorders, but also cutaneous non-neoplastic manifestations (infective dermatitis, infections, and infestations). We performed an updated revision of the clinical dermatologic and histopathologic findings associated with the cutaneous non-neoplastic and preneoplastic disorders occurring in association with the EBV and human T-lymphotropic virus type-1.

Keywords: Gianotti-Crosti syndrome; Lipschutz ulcer; chronic active EBV disease; infectious mononucleosis; infective dermatitis; infestations; severe mosquito bite allergy.

Publication types

  • Review

MeSH terms

  • Epstein-Barr Virus Infections* / complications
  • Herpesvirus 4, Human
  • Human T-lymphotropic virus 1*
  • Humans
  • Lymphoproliferative Disorders* / complications
  • Skin / pathology