Medicinal leeches and pseudolymphoma

Background: Primary cutaneous B-cell lymphoma and B-cell pseudolymphoma may show similar clinical and microscopic presentations, and sometimes represent a real diagnostic challenge for both clinician and pathologist. Observation: A 64-years-old woman with a three months history of multiple, firm, reddish, pruritic and excoriated papules and nodules extensively distributed on the back and on her legs.…