Hyperpigmented mycosis fungoides: a rare variant
Meryem Soughi, Fatima Zahra Mernissi
The Pan African Medical Journal. 2013;15:13. doi:10.11604/pamj.2013.15.13.2789

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Hyperpigmented mycosis fungoides: a rare variant

Cite this: The Pan African Medical Journal. 2013;15:13. doi:10.11604/pamj.2013.15.13.2789

Received: 04/05/2013 - Accepted: 07/05/2013 - Published: 07/05/2013

Key words: mycosis fungoides, skin biopsy, photoprotection

© Meryem Soughi et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/15/13/full

Corresponding author: Meryem Soughi, CHU HAssan 2, Fes, Morocco (msoughi@gmail.com)


Hyperpigmented mycosis fungoides: a rare variant

 

Meryem Soughi1,&, Fatima Zahra Mernissi1

 

1CHU HAssan 2, Fes, Morocco

 

 

&Corresponding author
Meryem Soughi, CHU HAssan 2, Fes, Morocco

 

 

Image in medicine

Mycosis fungoides (MF) is the most common type of cutaneous T-cell lymphoma. The diagnosis of classic MF is based on a combination of clinical presentation, histopathology, immunohistochemistry, and T-cell monoclonality detected by molecular studies. However, the diagnosis can be difficult in some cases. We report a case of hyperpigmented mycosis fungoides. A 60-year-old woman, phototype IV, presented for more than 4 years a history of asymptomatic hyperpigmented non- infiltrated plaques on the face. Cutaneous lupus was diagnosed based on a skin biopsy. Hydroxychloroquine and photoprotection was started. Considering non improvement, another biopsy was done, in favor of a mycosis fungoides CD3+, CD4+, CD8-. The diagnostic of hyper pigmented mycosis fungoides stage I was retained and topical steroid was introduced. Mycosis fungoides can appear in various clinical forms, the hyperpigmented form is rare but this diagnosis should be evoked.

Figure 1: pigmented plaques of the nasolabial fold and the chin

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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