Facebook Live: Lymphomatoid Papulosis (LyP) with Dr. Villasenor-Park

October's Facebook Live event focused on lymphomatoid papulosis (LyP) a disease of the immune system that presents with self-healing small bumps and spots that may come and go. Dr. Jennifer Villasenor-Park presented on what LyP is and how its treated. She also responded to viewer questions related to lymphomatoid papulosis.

Dr. Villasenor-Park is a dermatologist at Penn Dermatology.

Q&A - click on timestamps for Dr. Villasenor-Park's responses to the following questions:

00:32:20 You mentioned about checking the lymph nodes as part of the exam - would that be a physical palpation of the lymph nodes or would there be another kind of exam required?

00:34:55 So far 21 years on methotrexate (MTX). Heard it has a rare side effect of destroying your lungs. How rare? What signs should I be watching for?

00:36:10 Does this side effect (of long term exposure to MTX) increase over the course of time, or do we know?

00:38:24 How would you diagnose someone who has both mycosis fungoides (MF) and lymphomatoid papulosis (LyP)? Do you take multiple biopsies and the clinical presentation - is that the best approach?

00:39:58 So would the treatments treat both at the same time or would you have to do different types of treatments?

00:41:46 My son was 3 when he was diagnosed 3 years ago and he has been lesion free for 1 1/2 years now. Can this be a complete remission or will it come back?

00:43:18 Getting my first shingles vaccine next month - is this ok for patients with LyP?

00:43:43 ​I do get lesions from time to time. Some of these seem to fill up with a thick gel, and sometime fill up like a bubble. Why do some seem to need to fill up and some just dry up and go away. Is there a quickest way to dry these up?

00:44:38 My son, age 17, has LyP and has had some irregularities in his blood urea nitrogen and creatinine levels. Have there been any connections between LyP and kidney issues?

00:45:47 Does the UVB light, direct on the lesions or my body, absorb the light and help from within?

00:47:24 Twenty-one years ago I was diagnosed with LyP between A & B can my body have developed different subtypes since then?

00:48:00 How does diet and alternative treatments affect LyP?

00:49:50 Are there any trials with stem cell transplant for LyP patients?

00:51:11 My husband has Cutaneous B-cell lymphoma and only presented a lump under his arm which was removed and had radiation. He has recently been diagnosed with primary liver cancer and is getting a work-up for a liver transplant. After the transplant and being on anti-rejection drugs that will suppress the immune system, what do you think is the likelihood of the lymphoma reoccurring and causing problems?

00:53:40 My mother passed away when I was 6 from Hodgkins having been diagnosed with LyP, does this increase the likelihood of getting Hodgkins?

00:54:31 I, and my doctor, agree with not over treating this but I've seen some doctors who felt I should treat this more aggressively to keep it from progressing further to malignancy, what are your thoughts?

00:55:43 Has there been any studies with using CBD oil in treating LyP?

00:56:20 What is the best treatment for scars left behind?

00:57:24 What is the difference between type B and type F? Can one or do both resemble folliculotropic mycosis fungoides under the microscope? Is foliculitis a common early diagnosis?