Perplexing rash: Challenges to diagnosis and management of mycosis fungoides

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Abstract

Mycosis fungoides is the most ubiquitous form of cutaneous T-cell lymphoma. Diagnosis is arduous, as early phases often resemble common inflammatory dermatoses. The principal histologic features of MF include medium to large-sized cerebriform mononuclear cells in single or small clusters in the epidermis. Treatment modalities are prodigious and relapses are common. The authors present a case of a 69-year-old man with mycosis fungoides, followed by a review of diagnostic modalities and phototherapeutic interventions for patients with this condition. According to literature reports, monochromatic excimer light therapy is the most advantageous and well-tolerated phototherapy modality for patients with early patch stage mycosis fungoides.

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Aun, J. A., Patel, H. S., Patel, K. K., Cashman, J., & Bailey, E. (2018). Perplexing rash: Challenges to diagnosis and management of mycosis fungoides. Journal of the American Osteopathic Association, 118(7), 472–478. https://doi.org/10.7556/jaoa.2018.101

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