TY  - CHAP
M1  - Book, Section
TI  - Chapter 176. Cutaneous T-Cell Lymphoma
A1  - Usatine, Richard P.
A1  - Smith, Mindy A.
A1  - Chumley, Heidi S.
A1  - Mayeaux, E.J.
PY  - 2013
T2  - The Color Atlas of Family Medicine, 2e
AB  - A  52-year-old  black  woman  presented  with  a  7-month  history  of  a  hypopigmented  rash  in  a  symmetric  distribution  on  her  upper  thighs  and  arms  (Figures  176-1  and  176-2).  She  had  been  from  evacuated  New  Orleans  following  Hurricane  Katrina.  She  had  waded  through  polluted  waters  for  hours  before  being  rescued  by  a  boat.  Four  days  passed  before  she  had  access  to  a  shower  at  which  time  she  noticed  a  single  erythematous  spot  the  size  of  a  silver  dollar  on  her  left  thigh.  Over  the  next  several  weeks,  it  faded  to  hypopigmented  macules  and  plaques  and  eventually  spread  to  both  thighs  and  arms.  The  physical  examination  revealed  no  lymphadenopathy.  A  hematoxylin  and  eosin  (H&E)  stain  of  a  full-thickness  punch  biopsy  revealed  “cerebriform”  lymphocytes  at  the  dermal-epidermal  junction  characteristic  of  mycosis  fungoides  (MF),  a  type  of  cutaneous  T-cell  lymphoma  (CTCL).  Her  blood  tests  were  essentially  normal,  and  she  was  HIV-negative.  The  patient  reported  no  improvement  with  topical  high-potency  generic  steroid  to  affected  areas  and  is  currently  receiving  narrow-band  UVB  treatment  twice  weekly.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=57682141
ER  -