The Clinical Features and Histopathologic Patterns of Folliculotropic Mycosis Fungoides in a Series of 38 Cases

    November 2014 in “ Journal of Cutaneous Pathology
    Cüyan Demirkesen, Galip Esirgen, Burhan Engın, Abdullah Songür, Oya Oğuz
    Studysummary This study describes the diverse histopathological patterns and clinical features observed in patients with folliculotropic mycosis fungoides, emphasizing the importance of accurate recognition to avoid diagnostic errors.
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    This study examined 86 biopsies from 38 patients with folliculotropic mycosis fungoides (FMF) to describe the range of histopathological patterns and clinical features. The most common histopathologic pattern observed was folliculocentric/folliculotropic, with or without follicular mucinosis. Other patterns included keratin-filled cysts, comedones, and various forms of folliculitis. Clinically, grouped follicular papules and patch/plaque lesions were frequent, along with folliculocentric lesions such as milia, cysts, and alopecia. A significant finding was that 15.8% of patients experienced transformation to large-cell lymphoma. The study emphasized the importance of recognizing the diverse presentations of FMF to avoid diagnostic errors.
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