Mycosis fungoides (cutaneous T-cell lymphoma)

Published on 02/04/2015 by admin

Filed under Internal Medicine

Last modified 02/04/2015

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198 Mycosis fungoides (cutaneous T-cell lymphoma)

Instruction

Look at this patient’s skin.

Salient features

History

• Age (usually fifth and seventh decade)

• Pruritus.

Examination

• Itchy, brownish-red plaques on the hips, buttocks and interscapular region (Fig. 198.1).

image

Fig. 198.1 Patch-stage mycosis fungoides: itchy, brownish-red plaques.

Proceed as follows:

• Tell the examiner that it may also involve the lymph nodes and viscera.

Diagnosis

This patient has itchy brownish-red plaques with lymph node involvement (lesions), indicating mycosis fungoides (aetiology).

Advanced-level questions

How would you confirm the diagnosis?

Skin biopsy to detect Pautrier’s microabscesses

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