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Childhood hypopigmented mycosis fungoides: a commonly delayed diagnosis.

Abstract

Primary cutaneous lymphomas (PCLs) are exceedingly rare in children and adolescents, with mycosis fungoides (MF) being the most frequent PCL diagnosed in childhood. There are numerous unusual clinical variants of MF, including the hypopigmented type form (HMF). HMF is exceptional overall, but comparatively common among children. We present an 8-year-old boy with a 3-year history of progressive, generalised, scaly, hypopigmented round patches and few erythematous papules. He was first diagnosed with pityriasis alba (PA), and moisturisers were prescribed with no improvement. Skin biopsy showed typical features of MF, and the patient was successfully treated with narrowband ultraviolet B. HMF may simulate atopic dermatitis, PA, pityriasis lichenoides, tinea versicolour, vitiligo, postinflammatory hypopigmentation or leprosy. Therefore, persistent and unusual hypopigmented lesions should be biopsied to rule out this rare variant of MF.

More information

Type
Journal Article
Author
Gameiro A
Gouveia M
Tellechea Ó
Moreno A
Year of Publication
2014
Journal
BMJ case reports
Volume
2014
Language
eng
ISSN Number
1757-790X
DOI
10.1136/bcr-2014-208306
Alternate Journal
BMJ Case Rep
Publication Language
eng

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