Premium
Mycosis fungoides mimicking erysipelas
Author(s) -
Weyers Wolfgang,
DiazCascajo Carlos,
Preinfalk Peter,
Löffler Harald
Publication year - 2008
Publication title -
jddg: journal der deutschen dermatologischen gesellschaft
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 60
eISSN - 1610-0387
pISSN - 1610-0379
DOI - 10.1111/j.1610-0387.2007.06576.x
Subject(s) - mycosis fungoides , erysipelas , biopsy , skin biopsy , medicine , dermatology , pathology , peripheral t cell lymphoma , gene rearrangement , t cell , lymphoma , biology , immunology , immune system , gene , biochemistry
Summary Mycosis fungoides may rarely simulate facial erysipelas. In a patient with that clinical presentation, a biopsy specimen revealed a diffuse dermal infiltrate with numerous neutrophils that also mimicked erysipelas histopathologically. The diagnosis of mycosis fungoides was made on the basis of atypical lymphocytes with focal epidermo‐ and folliculotropism. It was confirmed by typical findings of mycosis fungoides in a second biopsy from a clinically inconspicuous patch. An identical T‐cell receptor γ‐gene rearrangement was detected in lymphocytes of both biopsy specimens.