Mycosis fungoides bullosa: Report of a case and review of the literature - 02/09/11
Abstract |
Mycosis fungoides, the most common type of cutaneous T-cell lymphoma, can manifest in a variety of clinical and histologic forms. Presentation with vesiculobullous lesions is extremely rare. We report the ninth documented case of mycosis fungoides bullosa in which other concomitant autoimmune blistering diseases were ruled out by negative immunofluorescence. All previously reported cases in the world literature since the first in 1887 are reviewed. We recommend the following defining criteria for the disease: (1) clinically apparent vesiculobullous lesions, with or without typical mycosis fungoides lesions (patches, plaques, tumors); (2) typical histologic features of mycosis fungoides (atypical lyphoid cells, epidermotropism, Pautrier's microabscesses) with intraepidermal or subepidermal blisters; (3) negative immunofluorescence (both direct and indirect, if possible) to rule out concomitant autoimmune bullous diseases; (4) negative evaluation for other possible causes of vesiculobullous lesions (eg, medications, bacterial or viral infection, porphyria, phototherapy). (J Am Acad Dermatol 2001;45:934-9.)
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Funding sources: None. |
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Conflict of interest: None. |
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Reprint requests: Daniel J. Hogan, MD, Dermatology Section, Louisiana State University Medical Center, 1501 Kings Highway, Shreveport, LA 71130-3932. |
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*Dr Bowman is currently Chief Dermatology Resident at the Medical College of Georgia, Augusta. |
Vol 45 - N° 6
P. 934-939 - décembre 2001 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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