Localized po´kiloderma
Amina Kissou, Badr Eddine Hassam
The Pan African Medical Journal. 2017;27:94. doi:10.11604/pamj.2017.27.94.12959

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Localized po´kiloderma

Cite this: The Pan African Medical Journal. 2017;27:94. doi:10.11604/pamj.2017.27.94.12959

Received: 04/06/2017 - Accepted: 06/06/2017 - Published: 07/06/2017

Key words: Mycosis, poikyloderma, fongoide

© Amina Kissou 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/27/94/full

Corresponding author: Amina Kissou, Service de Dermatologie, Centre Hospitalier Universitaire Ibn Sina, Rabat, Maroc (aminakissou@hotmail.com)


Localized po´kiloderma

Amina Kissou1,&, Badr Eddine Hassam1

 

1Service de Dermatologie, Centre Hospitalier Universitaire Ibn Sina, Rabat, Maroc

 

 

&Corresponding author
Amina Kissou, Service de Dermatologie, Centre Hospitalier Universitaire Ibn Sina, Rabat, Maroc

 

 

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A patient aged 58 years, diabetic, consulted for the appearance of a lesion on the left thigh that evolved for 2 years. The clinical examination found a plaque, with digital edges, hyper-pigmented center dotted with a few areas of skin atrophy and a hypochromic periphery. The lesion was not infiltrated, mildly pruriginous and measured 10 cm of major axis (Panel A). There were no adenopathies. Histology demonstrated an orthokeratosic hyperkeratosis. The dermis was the site of an inflammatory infiltrate of increased lymphocytes of incised size. This infiltrate was arranged in a linear manner, producing the appearance in "Indian file" (Panel B). The cells were CD3+, CD4+ and CD8- (Panel C and D). The diagnosis of mycosis fungoides in its po´kilodermic form was retained. An extension report was without anomaly. The lymphoma was classified T1N0M0. Treatment with dermocorticoid associated with phototherapy "UVB-type" allowed complete remission with a follow-up of 2 years.

 

Figure 1: (A): plaque on the left tight: digitiform edges with dyschromatosis; (B) epidermotropism HEx40; (C) CD4+; (D) CD8ľ

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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ISSN: 1937-8688. © 2017 - Pan African Medical Journal. All rights reserved