Hypopigmented Mycosis Fungoides in an 11-Year-Old Palestinian Boy.

Q3 Medicine
Duha Rabi, Balqis Shawer, Ahmad Rabee, Mohammad Qudaimat, Mohammad Milhem, Izzeddin Bakri
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Abstract

Cutaneous T-cell lymphoma (CTCL) is a lymphoproliferative disorder of the skin. The most common subtype of CTCL in pediatrics is mycosis fungoides (MF). There are multiple variants of MF. The hypopigmented variant represents more than 50% of MF cases in pediatrics. Misdiagnosis of MF can occur because it may resemble other benign skin pathologies. This is a case of an 11-year-old Palestinian boy presented with generalized nonpruritic hypopigmented maculopapular patches with progressive course for 9-months. Biopsy samples from a hypopigmented patch revealed appearances diagnostic of MF. Immunohistochemical staining was positive for CD3 and CD7 (partial) and a mixture of CD4 and CD8 positive cells. The patient's case was managed with narrowband ultraviolet B (NBUVB) phototherapy. After a few sessions, the hypopigmented lesions improved significantly.

Abstract Image

Abstract Image

Abstract Image

11岁巴勒斯坦男孩的蕈样霉菌病。
皮肤t细胞淋巴瘤(CTCL)是一种皮肤淋巴细胞增生性疾病。儿科CTCL最常见的亚型是蕈样真菌病(MF)。MF有多种变体。低色素变体占儿科MF病例的50%以上。MF可能会被误诊,因为它可能类似于其他良性皮肤病变。这是一个11岁的巴勒斯坦男孩,表现为全身性非瘙痒性低色素黄斑丘疹,病程进展9个月。低色素斑块的活检样本显示诊断性MF。免疫组化染色CD3和CD7(部分)阳性,CD4和CD8混合阳性细胞。采用窄带紫外线B (NBUVB)光疗治疗。几次治疗后,色素减退病变明显改善。
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来源期刊
CiteScore
1.50
自引率
0.00%
发文量
24
审稿时长
15 weeks
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