Xu WB, Zhang YP, Zhou SP, Bai HY. Erythrodermic mycosis fungoides: A case report. World J Clin Cases 2024; 12(1): 130-135 [PMID: 38292631 DOI: 10.12998/wjcc.v12.i1.130]
Corresponding Author of This Article
Ya-Ping Zhang, MBBS, Professor, Department of Radiology, Shaoxing People’s Hospital, Key Laboratory of Functional Molecular Imaging of Tumor and Interventional Diagnosis and Treatment of Shaoxing City, No. 568 North Zhongxing Road, Yuecheng District, Shaoxing 312000, Zhejiang Province, China. 281891582@qq.com
Research Domain of This Article
Medicine, General & Internal
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 6, 2024; 12(1): 130-135 Published online Jan 6, 2024. doi: 10.12998/wjcc.v12.i1.130
Erythrodermic mycosis fungoides: A case report
Wu-Bing Xu, Ya-Ping Zhang, Su-Ping Zhou, Hao-Yang Bai
Wu-Bing Xu, Ya-Ping Zhang, Su-Ping Zhou, Hao-Yang Bai, Department of Radiology, Shaoxing People’s Hospital, Key Laboratory of Functional Molecular Imaging of Tumor and Interventional Diagnosis and Treatment of Shaoxing City, Shaoxing 312000, Zhejiang Province, China
Author contributions: Bai HY and Zhou SP contributed equally to this work; Bai HY and Zhou SP were responsible for data searching; Xu WB wrote the paper; Zhang YP was responsible for writing instructions and communication contacts; and all authors have read and approved the final manuscript.
Informed consent statement: Informed consent of the patient for publication, including personal data and pictures.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ya-Ping Zhang, MBBS, Professor, Department of Radiology, Shaoxing People’s Hospital, Key Laboratory of Functional Molecular Imaging of Tumor and Interventional Diagnosis and Treatment of Shaoxing City, No. 568 North Zhongxing Road, Yuecheng District, Shaoxing 312000, Zhejiang Province, China. 281891582@qq.com
Received: September 19, 2023 Peer-review started: September 19, 2023 First decision: December 5, 2023 Revised: December 11, 2023 Accepted: December 19, 2023 Article in press: December 19, 2023 Published online: January 6, 2024
Abstract
BACKGROUND
Mycosis fungoides is the most common primary cutaneous T-cell lymphoma, whereas generalized erythroderma is rare. In this report, we describe a case of mycosis fungoides with generalized erythroderma using complete clinical data and [18F]fluoroDglucose positron emission tomography/computed tomography (18F-FDG PET/CT) images.
CASE SUMMARY
Systemic skin redness with desquamation for three years confirmed mycosis fungoides within one month. The patient underwent left axillary lymphadenectomy biopsy; pathological biopsy suggested abnormal T-cell lesions consistent with mycosis fungoides involving lymph nodes. The patient received methotrexate, 5 mg twice weekly, as part of their chemotherapy regimen. Patients January half after discharge, no obvious cause of high fever, left axillary lymph nodes with red heat pain, and rupture entered our hospital for treatment.
CONCLUSION
The 18F-FDG PET/CT is essential for early diagnosis and timely treatment.
Core Tip: Mycosis fungoides is the most common primary cutaneous T-cell lymphoma, whereas generalized erythroderma is rare. Patients with mycosis fungoides with erythroderma lesions are more severe and require poor treatment. The [18F]fluoroDglucose positron emission tomography/computed tomography is essential for early diagnosis and timely treatment. Understanding the clinical and radiographic features of this rare disease will facilitate a better therapeutic diagnosis in clinical practice.
