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 |
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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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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.).</description><identifier>ISSN: 0190-9622</identifier><identifier>EISSN: 1097-6787</identifier><identifier>DOI: 10.1067/mjd.2000.107741</identifier><identifier>PMID: 11004619</identifier><identifier>CODEN: JAADDB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>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. 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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.).</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Dermatology</subject><subject>Disease Progression</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mucinosis, Follicular - etiology</subject><subject>Mucinosis, Follicular - therapy</subject><subject>Mycosis Fungoides - complications</subject><subject>Mycosis Fungoides - diagnosis</subject><subject>Mycosis Fungoides - therapy</subject><subject>Skin Neoplasms - complications</subject><subject>Skin Neoplasms - diagnosis</subject><subject>Skin Neoplasms - therapy</subject><subject>Time Factors</subject><subject>Tumors of the skin and soft tissue. 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Premalignant lesions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bonta, Michelle D.</creatorcontrib><creatorcontrib>Tannous, Zeina S.</creatorcontrib><creatorcontrib>Demierre, Marie-France</creatorcontrib><creatorcontrib>Gonzalez, Ernesto</creatorcontrib><creatorcontrib>Harris, Nancy L.</creatorcontrib><creatorcontrib>Duncan, Lyn M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bonta, Michelle D.</au><au>Tannous, Zeina S.</au><au>Demierre, Marie-France</au><au>Gonzalez, Ernesto</au><au>Harris, Nancy L.</au><au>Duncan, Lyn M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rapidly progressing mycosis fungoides presenting as follicular mucinosis</atitle><jtitle>Journal of the American Academy of Dermatology</jtitle><addtitle>J Am Acad Dermatol</addtitle><date>2000-10-01</date><risdate>2000</risdate><volume>43</volume><issue>4</issue><spage>635</spage><epage>640</epage><pages>635-640</pages><issn>0190-9622</issn><eissn>1097-6787</eissn><coden>JAADDB</coden><abstract>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. 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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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