Recurrent penile and oral aphthosis revealing a large granular T-cell lymphoproliferative disorder

Large granular T-cell lymphoproliferative disorders are rare and often silent, making diagnosis difficult. A 26-year-old man had recurrent oral and genital aphthous ulcers, which were initially diagnosed as idiopathic bipolar aphthosis. Colchicine therapy induced neutropenia, prompting investigations that revealed a clonal large granular T-cell lymphoproliferative disorder. This case underscores the importance of considering haematological disease when recurrent mucosal aphthosis is associated with unexplained neutropenia.

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Publication Details

Journal
Clinical and Experimental Dermatology
Published
2026-01-09
DOI
https://doi.org/10.1093/ced/llag016
Primary Topic
Cutaneous lymphoproliferative disorders research
Type
article
Field-Weighted Citation Impact
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Recurrent penile and oral aphthosis revealing a large granular T-cell lymphoproliferative disorder

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Cutaneous lymphoproliferative disorders research
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Recurrent penile and oral aphthosis revealing a large granular T-cell lymphoproliferative disorder

T. Mahévas, Estelle Charvet, Marie Jachiet, S. Fouéré, David Boutboul, Arno Wahler, Jean-Noël Dauendorffer, Jean-David Bouazi
article en

Abstract

Large granular T-cell lymphoproliferative disorders are rare and often silent, making diagnosis difficult. A 26-year-old man had recurrent oral and genital aphthous ulcers, which were initially diagnosed as idiopathic bipolar aphthosis. Colchicine therapy induced neutropenia, prompting investigations that revealed a clonal large granular T-cell lymphoproliferative disorder. This case underscores the importance of considering haematological disease when recurrent mucosal aphthosis is associated with unexplained neutropenia.

Clinical and Experimental Dermatology
Inserm (FR), Université de Versailles Saint-Quentin-en-Yvelines (FR), Université Paris Cité (FR), Université Paris-Saclay (FR), Sorbonne Université (FR), Sorbonne Paris Cité (FR), Assistance Publique – Hôpitaux de Paris (FR), Institut de Biologie Paris-Seine (FR), Hôpital Saint-Louis (FR), Université Paris 1 Panthéon-Sorbonne (FR)
Good health and well-being
Openalex Percentile: Top 92%
Cutaneous lymphoproliferative disorders research
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