Rapidly progressing mycosis fungoides presenting as follicular mucinosis

Follicular mucinosis can occur as a primary idiopathic disorder or can arise in association with benign or malignant disease, most notably mycosis fungoides. We describe a patient with an aggressive folliculotropic variant of mycosis fungoides that initially presented as follicular mucinosis with al...

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Veröffentlicht in:Journal of the American Academy of Dermatology 2000-10, Vol.43 (4), p.635-640
Hauptverfasser: Bonta, Michelle D., Tannous, Zeina S., Demierre, Marie-France, Gonzalez, Ernesto, Harris, Nancy L., Duncan, Lyn M.
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container_issue 4
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container_title Journal of the American Academy of Dermatology
container_volume 43
creator Bonta, Michelle D.
Tannous, Zeina S.
Demierre, Marie-France
Gonzalez, Ernesto
Harris, Nancy L.
Duncan, Lyn M.
description Follicular mucinosis can occur as a primary idiopathic disorder or can arise in association with benign or malignant disease, most notably mycosis fungoides. We describe a patient with an aggressive folliculotropic variant of mycosis fungoides that initially presented as follicular mucinosis with alopecia. One month after the diagnosis of follicular mucinosis, a diagnosis of mycosis fungoides was made, and 3 months later inguinal lymph node involvement with mycosis fungoides developed. A skin biopsy specimen demonstrated prominent follicular mucinosis with folliculotropism of atypical cells and intrafollicular Pautrier's microabscesses. As demonstrated in this case, follicular mucinosis can be a presenting sign of rapidly progressive mycosis fungoides. In our review of follicular mucinosis and its association with mycosis fungoides, we found that the folliculotropic variant of mycosis fungoides appears more commonly to have an aggressive course than classic mycosis fungoides. (J Am Acad Dermatol 2000;43:635-40.).
doi_str_mv 10.1067/mjd.2000.107741
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subjects Adult
Biological and medical sciences
Dermatology
Disease Progression
Humans
Male
Medical sciences
Mucinosis, Follicular - etiology
Mucinosis, Follicular - therapy
Mycosis Fungoides - complications
Mycosis Fungoides - diagnosis
Mycosis Fungoides - therapy
Skin Neoplasms - complications
Skin Neoplasms - diagnosis
Skin Neoplasms - therapy
Time Factors
Tumors of the skin and soft tissue. Premalignant lesions
title Rapidly progressing mycosis fungoides presenting as follicular mucinosis
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