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Mycosis Fungoides in Arab Children and Adolescents: A Report of 36 Patients from Kuwait
Author(s) -
Nanda Arti,
AlSaleh Qasem A.,
AlAjmi Hejab,
AlSabah Homoud,
Elkashlan Muhammad,
AlShemmari Salem,
Demierre MarieFrance
Publication year - 2010
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/j.1525-1470.2010.01129.x
Subject(s) - medicine , mycosis fungoides , pediatrics , incidence (geometry) , referral , population , dermatology , juvenile , lymphoma , family medicine , physics , environmental health , biology , optics , genetics
Mycosis fungoides (MF) is rare in children and adolescents. This study was aimed to determine the clinicoepidemiologic features of juvenile onset (≤18 yrs) MF in Kuwait. Thirty‐six children and adolescents (≤18 yrs) with MF registered in a referral photobiology unit for cutaneous lymphomas between July 1991 and June 2009 were included in this study. Children and adolescents were observed to constitute 16.6% of the total number of patients with MF, with 97% of patients of Arab ethnicity. The age‐adjusted incidence rate of MF in children and adolescents among the total population was 0.29/100,000 persons/year. Among 36 Arab children and adolescents, boys outnumbered girls by 1.25:1. Mean and median age at onset of disease was 9 years, and age at diagnosis was 13 years. Patch stage disease was the most common clinical variant (75%) with 56% with pure hypopigmented MF‐variant. The majority of patients (75%) had stage IB (TNM and B staging) disease. The study highlights a high prevalence and incidence of juvenile MF in Kuwait with a predominantly hypopigmented presentation.