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 |
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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. |
doi_str_mv | 10.1111/ijd.16374 |
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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.</description><subject>Adult</subject><subject>Black or African American</subject><subject>Confocal microscopy</subject><subject>Dermatitis</subject><subject>Epidemiology</subject><subject>Humans</subject><subject>Inflammation</subject><subject>Leukemia</subject><subject>Leukemia-Lymphoma, Adult T-Cell</subject><subject>Lymphoma</subject><subject>Lymphoma, T-Cell, Cutaneous - pathology</subject><subject>Skin</subject><subject>Skin Neoplasms - pathology</subject><issn>0011-9059</issn><issn>1365-4632</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp1kMlOwzAQhi0EomU58AIoEhc4pPXumFspW1ElJARny0kc4ZINOxHq2-M2hQMSc5nt06-ZH4AzBCcoxNSu8gniRNA9MEaEs5hygvfBGEKEYgmZHIEj71ehJRjRQzAiHCIhmRiDl3nf6do0vY_KddW-N5X2ka2jWeFspkOuzLaY3pQ6-4ha3VlTd_46am1X6LL0ka7zqHXGh3FYNrU_AQdh483pLh-Dt_u71_ljvHx-WMxnyzgjSULjVBckY0YwqnmRFChNMc8ZoxhiLWRORY4l4wmjCFHMuMQyMwKmkqWCF7CQ5BhcDrqtaz574ztVWZ-Zshz-UVhAwSHGcoNe_EFXTe_qcF2gRIIYEwkJ1NVAZa7x3plCtc5W2q0VgmpjtApGq63RgT3fKfZpZfJf8sfZAEwH4MuWZv2_klo83Q6S34X5he0</recordid><startdate>202303</startdate><enddate>202303</enddate><creator>Flaum‐Dunoyer, Pauline</creator><creator>Noor, Sarah J.</creator><creator>Myskowski, Patricia L.</creator><general>Blackwell Publishing Ltd</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>202303</creationdate><title>Cutaneous lymphomas in African American/Black patients: pitfalls and presentations</title><author>Flaum‐Dunoyer, Pauline ; Noor, Sarah J. ; Myskowski, Patricia L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3884-baf3c5e754a6f8f1bb26d554202a79d47d2956854114256929ce70b95b76f0f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Black or African American</topic><topic>Confocal microscopy</topic><topic>Dermatitis</topic><topic>Epidemiology</topic><topic>Humans</topic><topic>Inflammation</topic><topic>Leukemia</topic><topic>Leukemia-Lymphoma, Adult T-Cell</topic><topic>Lymphoma</topic><topic>Lymphoma, T-Cell, Cutaneous - pathology</topic><topic>Skin</topic><topic>Skin Neoplasms - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Flaum‐Dunoyer, Pauline</creatorcontrib><creatorcontrib>Noor, Sarah J.</creatorcontrib><creatorcontrib>Myskowski, Patricia L.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Flaum‐Dunoyer, Pauline</au><au>Noor, Sarah J.</au><au>Myskowski, Patricia L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cutaneous lymphomas in African American/Black patients: pitfalls and presentations</atitle><jtitle>International journal of dermatology</jtitle><addtitle>Int J Dermatol</addtitle><date>2023-03</date><risdate>2023</risdate><volume>62</volume><issue>3</issue><spage>357</spage><epage>368</epage><pages>357-368</pages><issn>0011-9059</issn><eissn>1365-4632</eissn><abstract>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. 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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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