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J Eur Acad Dermatol Venereol ; 31(3): 432-437, 2017 Mar.
Article in English | MEDLINE | ID: mdl-27699871

ABSTRACT

BACKGROUND: Sulphur mustard (SM) is an alkylating chemical warfare agent which causes acute and chronic injuries to the eyes, skin, lung and respiratory tract. OBJECTIVE: We aimed to investigate the relationship between SM poisoning and Mycosis fungoides (MF) as a late consequence. MATERIAL AND METHODS: In this retrospective study, the medical files of 1100 Iranian veterans confirmed to have exposure to SM agent during the Iraq-Iran war of the 1980s were reviewed. RESULTS: All 10 cases with MF were confirmed by clinical and histopathological examinations. The mean age of the studied subjects was 43.3 ± 9.8 (years). In comparison to MF incidence rate in Iranian general population (0.39/100 000 person-years), we found an incidence rate of 0.799/100 000 person-years for MF among those who had short-term exposure to SM. The most common sites for SM lesions were flexural and thin skin areas. The main limitation was the retrospective design. CONCLUSION: This study indicates that the risk of MF in those exposed to SM may increase over time. Therefore, their follow-up is recommended.


Subject(s)
Chemical Warfare Agents/poisoning , Mustard Gas/poisoning , Mycosis Fungoides/epidemiology , Skin Neoplasms/epidemiology , Adult , Aged , Humans , Incidence , Iran/epidemiology , Male , Middle Aged , Mycosis Fungoides/chemically induced , Mycosis Fungoides/pathology , Retrospective Studies , Skin Neoplasms/chemically induced , Skin Neoplasms/pathology , Veterans
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