Hypopigmented Mycosis Fungoides versus Mycosis Fungoides with Concomitant Hypopigmented Lesions: Same Disease or Different Variants of Mycosis Fungoides?

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Citações na Scopus
18
Tipo de produção
article
Data de publicação
2014
Título da Revista
ISSN da Revista
Título do Volume
Editora
KARGER
Citação
DERMATOLOGY, v.229, n.3, p.271-274, 2014
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: Hypopigmented mycosis fungoides (HMF) is a rare subtype of mycosis fungoides (ME). We compared patients with exclusive hypopigmented lesions with a group of MF patients with concomitant different lesions. Methods: 20 patients with HMF only and 14 patients with hypopigmented lesions concomitant with other types of lesions (mixed MF, MMF) were selected. Clinical-epidemiological analysis as well as histological and immunohistochemical studies were performed. Results: HMF and MMF preserve some similarities, like predilection for dark-skinned persons and slow progression, but they also present differences: the exclusive variant is associated with early onset and a clear CD8+ immunophenotype, whereas MMF patients tend to present a predominance of CD4+ cell infiltrates. Histological analysis revealed similar findings; relapsing courses were common. Conclusion: Whether patients are suffering from exclusive HMF or MMF, the presence of hypopigmented lesions can be considered a marker of good prognosis in MF, since both groups presented similar data, such as staging and disease duration. (C) 2014 S. Karger AG, Basel
Palavras-chave
Cutaneous T cell lymphoma, Hypopigmentation, Mycosis fungoides, Th1/Th2 cells
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