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Image Number 493 (Mycosis fungoides)

 
Morphology:
Red,nonscaly

Diagnosis: Mycosis fungoides

Site: Back

Sex: M

Age: 68

Type: Clinical

Description: Red non scaly mildly infiltrated plaques

Submitted by: Ian McColl

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Differential Diagnosis

History: Mycosis fungoides or T cell lymphoma of the skin can look remarkably like a dermatitis but often has little scale.The plaques are fixed and grow very slowly gradually becoming thicker and firmer as the T cell infiltrate of the epidermis increases.The lesions are often only slightly itchy.The skin may be the only organ involved for many years before the atypical lymphocytes spread to the local lymph nodes and elsewhere.

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