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AN INTERESTING CASE OF MYCOSIS FUNGOIDES

SUGANYAGNANADEEPAM RAMU

Abstract


Abstract : Mycosis fungoides is the most common of the
primary cutaneous T cell lymphomas . We descibe a 58 year
old male who presented with features of plaque stage of
Mycosis fungoides. The lesions initially started around the hip
as hyperpigmented plaques which was followed by similar
lesions over legs, trunk, arms and other regions of the body
gradually in 10 yrs. History of loss of weight and appetite was
present . Dermatological examination revealed multiple
well-defined hyperpigmented thickened scaly plaques of
varying sizes present over trunk, face and extremities. Right
axillary lymphnodes were enlarged, firm, discrete and
nontender. Immunohistochemistry showed CD 3 and CD 4
positivity and histopathological examination was consistent
with Mycosis fungoides. The patient was treated with 6 cycles
of Total Skin Electron Beam Radiotherapy, followed which he
showed dramatic improvement in skin lesions . We report this
case for its rareity and interesting presentation .
Keyword :Immunohistochemistry, Epidermotropism, Mycosis
fungoides, Total Skin Electron Beam Radiotherapy.


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References


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