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        <identifier>oai:figshare.com:article/33981316</identifier>
        <datestamp>2026-09-24T10:29:14Z</datestamp>
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          <dc:title>Supplemental Material for: Toxic epidermal necrolysis secondary to nodal T-follicular helper cell lymphoma, not otherwise specified: a case report</dc:title>
          <dc:creator>figshare admin karger (2628495)</dc:creator>
          <dc:creator>Rie HYOBU (25103423)</dc:creator>
          <dc:creator>Kenichiro MAE (25103427)</dc:creator>
          <dc:creator>Aya TAKAHASHI (25103429)</dc:creator>
          <dc:creator>Tatsuo MAEDA (25103436)</dc:creator>
          <dc:creator>Kazutoshi HARADA (25103439)</dc:creator>
          <dc:subject>Medicine</dc:subject>
          <dc:subject>Medicine</dc:subject>
          <dc:description>&lt;p dir="ltr"&gt;Introduction: Nodal T-follicular helper cell lymphoma (nTFHL) is a rare subtype of peripheral T-cell lymphoma in which cutaneous manifestations occur in approximately half the patients. Case Presentation: We report herein a case of toxic epidermal necrolysis (TEN) in a 62-year-old, male, Japanese patient with nTFHL, not otherwise specified. The patient experienced the development of rapidly progressive, erythematous plaques with blistering and erosion involving more than 30% of the body surface area. Histopathological examination of the skin revealed total epidermal necrosis without lymphoma cell infiltration while immunohistochemical analysis demonstrated depletion of FOXP3-positive cells. The TEN was successfully treated with systemic corticosteroid therapy, plasma exchange, and intravenous immunoglobulin. Although EBER-positive B cells in lymph nodes and EBV DNAemia were detected, their contribution to the TEN remains unclear. Conclusion: This case expands the spectrum of severe, cutaneous manifestations associated with nTFHL and suggests that a reduction of regulatory T cells, previously reported in lymph nodes, may also occur locally in the skin and contribute to the development of cutaneous manifestations.&lt;/p&gt;</dc:description>
          <dc:date>2026-09-24T10:29:14Z</dc:date>
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          <dc:identifier>10.6084/m9.figshare.33981316.v1</dc:identifier>
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          <dc:rights>CC BY 4.0</dc:rights>
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