# Topical Chlormethine Gel in the Treatment of Lymphomatoid Papulosis: A Case Report and Literature Review

## TL;DR

A 57-year-old man with a rare skin lymphoproliferative disorder achieved full recovery using chlormethine gel, suggesting it as a potential treatment option.

## Contribution

Demonstrates the effectiveness of topical chlormethine gel in treating acral lymphomatoid papulosis, a rare skin condition.

## Key findings

- The patient achieved complete remission and full joint recovery after three months of chlormethine gel treatment.
- Six months post-treatment, the patient remained in remission with no recurrence.
- The case suggests chlormethine gel could be a viable treatment option for acral lymphomatoid papulosis.

## Abstract

Background: Lymphomatoid papulosis (LyP) is a primary cutaneous CD30-positive T-cell lymphoproliferative disorder presenting with self-healing erythematous papulonodular lesions that may ulcerate and scar. Treatment varies by lesion extent, location, and severity. Case Report: We describe a 57-year-old man with acral LyP successfully treated with chlormethine gel (CG). The patient experienced impaired second finger mobility for over 3 months due to an ulcerated nodular mass. After 3 months of CG treatment, complete remission, symptom resolution, and full joint recovery were achieved. Six months post-treatment, the patient remained in remission. Conclusions: This case underscores the effectiveness of CG in achieving sustained remission in acral LyP, suggesting its potential as a treatment option for this rare condition.