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Mycosis Fungoides
Aka: Mycosis Fungoides, Cutaneous T-Cell Lymphoma, Sezary Syndrome, Sezary Cell, Sezary Erythroderma
- Pathophysiology
- T-Cell Lymphoma that begins in skin
- Sezary Syndrome is leukemic form of T-Cell Lymphoma
- Epidemiology
- Incidence: 0.42 cases per 100,000 (rare)
- Most common after age 50 years
- Gender: Twice as common in men
- Black patients are more commonly affected
- Symptoms
- Pruritus
- Signs (four stages of development)
- Eczematous patches and Plaques
- Distributed over non-sun-exposed skin
- Buttocks
- Thighs
- Tumors develop later in course
- Associated with superficial and deep Lymphadenopathy
- Associated with metastases to Spleen, lung, GI tract
- Complications
- Exfoliative dermatitis
- Course
- Survival <3 years after tumors develop
- References
- Habif (1996) Clinical Dermatology, Mosby, p. 674-5
- Pujol (2000) J Am Acad Dermatol 42:324-8