Mycosis Fungoides Masquerading as Acrodermatitis Continua of Hallopeau

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Lily Parker
Lynn Nguyen
Dr. Kerry Hennessy, MD
Dr. Nicole Bolick, MD
Dr. Lewis (Frank) Glass, MD
Dr. Lubomir Sokol, MD

Keywords

psoriasis, mycosis fungoides, cutaneous t cell lymphoma, ctcl, skin cancer, osteomyelitis, radiation therapy, enterobacteria, necrosis, genetic studies, wound debridement, accrodermatitis of hallopeau

Abstract

Herein, we present a case of long-standing mycosis fungoides of the digit that was previously misdiagnosed. We highlight the unusual presentation of the lesion, as well as its extreme response to focal radiation therapy. This case demonstrates the importance of early biopsies in lesions with mycosis fungoides on the differential. In addition, close monitoring during initial treatment of cutaneous T cell lymphoma (CTCL) can help patients in tolerance of therapy.

References

1. Cerroni L. Mycosis fungoides-clinical and histopathologic features, differential diagnosis, and treatment. Semin Cutan Med Surg. 2018;37(1):2-10. doi:10.12788/j.sder.2018.002

2. Uribe-Herranz M, Lian LH, Hooper KM, Milora KA, Jensen LE. IL-1R1 signaling facilitates Munro's microabscess formation in psoriasiform imiquimod-induced skin inflammation. J Invest Dermatol. 2013 Jun;133(6):1541-9. doi: 10.1038/jid.2012.512. Epub 2013 Feb 14. PMID: 23407395; PMCID: PMC3656131.

3. Bolognia JL, Julie V. Schaffer, JV, Cerroni, L. Dermatology. Elsevier, 2018.

4. Taylor, A., Pile, H., & Altman, D. (2023). A Man with Worsening Scaling Plaques and a New Onset Large Draining Ulcerated Tumor. SKIN The Journal of Cutaneous Medicine, 7(2), 696–699. https://doi.org/10.25251/skin.7.2.6

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