Cutaneous lymphomas in African American/Black patients: pitfalls and presentations

This review describes and highlights differences in clinical presentations of cutaneous lymphomas (CLs), particularly in darker skin types, i.e., Skin of Color (SOC). We illustrate differences in clinical features on physical exam that can be a diagnostic challenge and suggest ways to recognize and...

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Veröffentlicht in:International journal of dermatology 2023-03, Vol.62 (3), p.357-368
Hauptverfasser: Flaum‐Dunoyer, Pauline, Noor, Sarah J., Myskowski, Patricia L.
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container_title International journal of dermatology
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creator Flaum‐Dunoyer, Pauline
Noor, Sarah J.
Myskowski, Patricia L.
description This review describes and highlights differences in clinical presentations of cutaneous lymphomas (CLs), particularly in darker skin types, i.e., Skin of Color (SOC). We illustrate differences in clinical features on physical exam that can be a diagnostic challenge and suggest ways to recognize and identify these conditions at an early stage through a high level of suspicion. The review includes a summary of the epidemiology of various CLs, specifically highlighting the presentation and incidence in African American/Black patients, where the data are available. We also include a discussion of adult HTLV‐1‐associated T‐cell leukemia/lymphoma (ATLL) which, although a systemic T‐cell lymphoma, may present with skin manifestations and mimic MF, other CTCL subtypes, or other inflammatory dermatoses. Finally, this review highlights the possible use of imaging modalities, such as dermoscopy and reflectance‐confocal microscopy, in diagnosing and recognizing cutaneous lymphomas in patients with darker skin types.
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subjects Adult
Black or African American
Confocal microscopy
Dermatitis
Epidemiology
Humans
Inflammation
Leukemia
Leukemia-Lymphoma, Adult T-Cell
Lymphoma
Lymphoma, T-Cell, Cutaneous - pathology
Skin
Skin Neoplasms - pathology
title Cutaneous lymphomas in African American/Black patients: pitfalls and presentations
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