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Image Number 1031 (Mycosis fungoides)

 
Morphology:
Plaque

Diagnosis: Mycosis fungoides

Site: Trunk

Sex: F

Age: 53

Type: Clinical

Description: Widespread pigmented plaques and patches

Submitted by: Ted Rosen

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Differential Diagnosis

History: Widespread itchy patches and plaques of varying pigmentation. No enlarged nodes, and other workup negative. Stage IB mycosis fungoides, treated with skin-directed therapy (topical nitrogen mustard), with spot therapy with intralesional corticosteroids. Considered total body electron beam as initial therapy, but patient declined this modality.

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