Index Case of Cutaneous Follicular Mycosis Fungoides With Central Nervous System Involvement and Review of Literature

Central nervous system involvement by mycosis fungoides (MF) is rare and is usually seen in advanced stages of the disease. We describe a patient with early-stage follicular MF who presented with changes in mental status. Despite an initial diagnosis of vasculitis based on clinical and brain biopsy...

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Veröffentlicht in:The American journal of dermatopathology 2018-03, Vol.40 (3), p.185-190
Hauptverfasser: Nguyen, Giang Huong, Mohler, Alexander, Leppert, Michelle, Parra, Cindy, Zeng, Yue-Ping, Prok, Lori, Schowinsky, Jeffrey, Magro, Cynthia M, Pacheco, Theresa, Ney, Douglas
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container_end_page 190
container_issue 3
container_start_page 185
container_title The American journal of dermatopathology
container_volume 40
creator Nguyen, Giang Huong
Mohler, Alexander
Leppert, Michelle
Parra, Cindy
Zeng, Yue-Ping
Prok, Lori
Schowinsky, Jeffrey
Magro, Cynthia M
Pacheco, Theresa
Ney, Douglas
description Central nervous system involvement by mycosis fungoides (MF) is rare and is usually seen in advanced stages of the disease. We describe a patient with early-stage follicular MF who presented with changes in mental status. Despite an initial diagnosis of vasculitis based on clinical and brain biopsy results, the postmortem examination revealed extensive infiltration of MF cells throughout the brain with leptomeningeal involvement. This case in addition to the accompanied review of literature illustrates the importance of the awareness of central nervous system involvement by MF and highlights the need for an urgent neurologic evaluation in patients with a history of MF now presenting with neurologic signs or symptoms.
doi_str_mv 10.1097/DAD.0000000000000955
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subjects Brain Neoplasms - pathology
Fatal Outcome
Humans
Male
Middle Aged
Mycosis Fungoides - pathology
Skin Neoplasms - pathology
title Index Case of Cutaneous Follicular Mycosis Fungoides With Central Nervous System Involvement and Review of Literature
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