Cutaneous T-cell lymphomas
- Mycosis fungoides
- CD4+ T-cell lymphoma
- Progresses slowly
- Stage I – patch stage
- Scaly, pruritic, well-demarcated patches
- Stage II – plaque stage
- Scaly, pruritic, well-demarcated plaques
- Large
- Stage III – tumor stage
- Dome-shaped purple or red nodules
- Treatment
- Topical steroids
- Topical chemo
- Phototherapy
- Biological therapy
- Systemic chemo
- Sézary syndrome
- Can develop from mycosis fungoides or de novo
- Clinical triad
- Systemic skin lesions
- Erythroderma
- Palmar and plantar hyperkeratosis
- Pruritus
- Generalized lymphadenopathy
- Atypical T-cells in blood
- Systemic skin lesions
- Treatment
- Extracorporal photopheresis
- Phototherapy
- Chemotherapy
- Adult cutaneous T-cell leukaemia/lymphoma
- HTLV-I associated
- Similar lesions to mycosis fungoides