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Folliculotropic Mycosis Fungoides in 20 Korean Cases: Clinical and Histopathologic Features and Response to Ultraviolet A-1 and/or Photodynamic Therapy
Annals of Dermatology ; : 192-201, 2018.
Article em En | WPRIM | ID: wpr-714159
Biblioteca responsável: WPRO
ABSTRACT
BACKGROUND: Folliculotropic mycosis fungoides (FMF) is a variant of mycosis fungoides (MF) that is characterized clinically by variable types of skin eruptions, including plaques, acneiform lesions, and alopecic patches. Histopathologically, FMF is characterized by folliculotropic infiltrates. OBJECTIVE: This study was conducted to scrutinize the clinical and histopathologic features of FMF in Koreans and the responses to phototherapy. METHODS: Twenty Koreans diagnosed with MF who had histopathologic evidence of folliculotropism were enrolled. RESULTS: Eighteen patients had head-and-neck-region infiltration, while five had solitary lesion. In all patients, the atypical lymphocytic infiltrate had a perifollicular distribution. Twelve patients were treated with ultraviolet A (UVA)-1. Eleven of these 12 patients with early-stage FMF experienced >80% improvement (8: complete remission; 3: partial remission). Four patients, including 2 who relapsed after UVA-1, were treated with photodynamic therapy (PDT), reaching complete remission after PDT. CONCLUSION: As FMF has variable clinical presentations, skin biopsy is required to confirm the diagnosis. And both UVA-1 and methyl aminolevulinate-PDT are clinically effective in treatment of early-stage FMF.
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Texto completo: 1 Índice: WPRIM Assunto principal: Fototerapia / Fotoquimioterapia / Pele / Biópsia / Micose Fungoide / Diagnóstico Tipo de estudo: Diagnostic_studies Limite: Humans Idioma: En Revista: Annals of Dermatology Ano de publicação: 2018 Tipo de documento: Article
Texto completo: 1 Índice: WPRIM Assunto principal: Fototerapia / Fotoquimioterapia / Pele / Biópsia / Micose Fungoide / Diagnóstico Tipo de estudo: Diagnostic_studies Limite: Humans Idioma: En Revista: Annals of Dermatology Ano de publicação: 2018 Tipo de documento: Article