Display options
Share it on

Dermatol Ther (Heidelb). 2015 Sep;5(3):213-6. doi: 10.1007/s13555-015-0083-4. Epub 2015 Aug 26.

Invisible Mycosis Fungoides: Not to be Missed in Chronic Pruritus.

Dermatology and therapy

Kristyn Deen, Blake O'Brien, Jason Wu

Affiliations

  1. Department of Dermatology, Princess Alexandra Hospital, Brisbane, QLD, Australia. [email protected].
  2. Dermatopathology, Sullivan and Nicolaides Pathology, Brisbane, Australia.
  3. Department of Dermatology, Princess Alexandra Hospital, Brisbane, QLD, Australia.

PMID: 26309188 PMCID: PMC4580656 DOI: 10.1007/s13555-015-0083-4

Abstract

INTRODUCTION: Pruritus without visible dermatoses may be the first manifestation of hematological malignancies such as Hodgkin disease, chronic lymphocytic leukemia and mycosis fungoides (MF) and may precede the definitive diagnosis by weeks to years.

CASE REPORT: We present a case of 'invisible' MF associated with chronic generalized pruritus in an elderly patient.

CONCLUSION: Our case highlights the importance of performing skin biopsies in patients with chronic unexplained pruritus, especially in the absence of cutaneous lesions. This can prompt the clinician to consider possible underlying malignancy, such as 'invisible' MF.

Keywords: Invisible; Invisible mycosis fungoides; Mycosis fungoides

References

  1. J Am Acad Dermatol. 2000 Feb;42(2 Pt 2):324-8 - PubMed
  2. Int J Dermatol. 2013 Sep;52(9):1111-4 - PubMed
  3. J Am Acad Dermatol. 2001 Aug;45(2):318 - PubMed
  4. J Am Acad Dermatol. 2001 Aug;45(2):318-9 - PubMed
  5. Acta Derm Venereol. 2010;90(1):12-7 - PubMed
  6. J Pain Symptom Manage. 2001 Feb;21(2):151-68 - PubMed

Publication Types