Mycosis Fungoides: A Case Report

Mycosis fungoides is the most common primary cutaneous T-cell lymphoma and is recognized as one of the rare malignant skin neoplasms. Hypopigmented mycosis fungoides is a variant of mycosis fungoides, described in dark-skinned individual and Asian patients.  We report a case of 32 years old Nepalese...

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Main Authors: Anisha Joshi, Deeptara Pathak Thapa
Format: Article
Language:English
Published: Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON) 2021-04-01
Series:Nepal Journal of Dermatology, Venereology & Leprology
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Online Access:https://www.nepjol.info/index.php/NJDVL/article/view/34167
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author Anisha Joshi
Deeptara Pathak Thapa
author_facet Anisha Joshi
Deeptara Pathak Thapa
author_sort Anisha Joshi
collection DOAJ
description Mycosis fungoides is the most common primary cutaneous T-cell lymphoma and is recognized as one of the rare malignant skin neoplasms. Hypopigmented mycosis fungoides is a variant of mycosis fungoides, described in dark-skinned individual and Asian patients.  We report a case of 32 years old Nepalese female who had presented with multiple asymptomatic hypopigmented macules over the bilateral arms, thighs, abdomen, back of trunk and buttocks. Skin biopsy revealed few atypical cells (small/medium-sized, cerebriform nuclei with halo) confined to epidermis with epidermotropism. Immunohistochemistry showed CD3, CD4, CD5 and CD8 positivity. The patient was managed with topical steroids, oral methotrexate and phototherapy, and she is on regular follow up. As the disease has an indolent clinical course, long term follow up is necessary.
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institution Kabale University
issn 2091-0231
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language English
publishDate 2021-04-01
publisher Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON)
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series Nepal Journal of Dermatology, Venereology & Leprology
spelling doaj-art-c16934dce1ed4a79bdec3eba3f172a382025-08-23T10:04:17ZengSociety of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON)Nepal Journal of Dermatology, Venereology & Leprology2091-02312091-167X2021-04-0119110.3126/njdvl.v19i1.34167Mycosis Fungoides: A Case ReportAnisha Joshi0https://orcid.org/0000-0001-8316-3259Deeptara Pathak Thapa1Department of Dermatology, Nepal Medical College and Teaching Hospital, Kathmandu, NepalDepartment of Dermatology, Nepal Medical College and Teaching Hospital, Kathmandu, NepalMycosis fungoides is the most common primary cutaneous T-cell lymphoma and is recognized as one of the rare malignant skin neoplasms. Hypopigmented mycosis fungoides is a variant of mycosis fungoides, described in dark-skinned individual and Asian patients.  We report a case of 32 years old Nepalese female who had presented with multiple asymptomatic hypopigmented macules over the bilateral arms, thighs, abdomen, back of trunk and buttocks. Skin biopsy revealed few atypical cells (small/medium-sized, cerebriform nuclei with halo) confined to epidermis with epidermotropism. Immunohistochemistry showed CD3, CD4, CD5 and CD8 positivity. The patient was managed with topical steroids, oral methotrexate and phototherapy, and she is on regular follow up. As the disease has an indolent clinical course, long term follow up is necessary. https://www.nepjol.info/index.php/NJDVL/article/view/34167HistopathologyImmunohistochemistryMycosis Fungoides
spellingShingle Anisha Joshi
Deeptara Pathak Thapa
Mycosis Fungoides: A Case Report
Nepal Journal of Dermatology, Venereology & Leprology
Histopathology
Immunohistochemistry
Mycosis Fungoides
title Mycosis Fungoides: A Case Report
title_full Mycosis Fungoides: A Case Report
title_fullStr Mycosis Fungoides: A Case Report
title_full_unstemmed Mycosis Fungoides: A Case Report
title_short Mycosis Fungoides: A Case Report
title_sort mycosis fungoides a case report
topic Histopathology
Immunohistochemistry
Mycosis Fungoides
url https://www.nepjol.info/index.php/NJDVL/article/view/34167
work_keys_str_mv AT anishajoshi mycosisfungoidesacasereport
AT deeptarapathakthapa mycosisfungoidesacasereport