Granulomatous slack skin: a rare subtype of mycosis fungoides

Abstract: We report a case of granulomatous slack skin, a rare and indolent subtype of mycosis fungoides. It affects mainly men between the third and fourth decades. It is characterized by hardened and erithematous plaques that mainly affect flexural areas and become pedunculated after some years. H...

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Main Authors: Letícia Marra da Motta, Cleverson Teixeira Soares, Sadamitsu Nakandakari, Gardênia Viana da Silva, Maria Helena Mazzi Freire Nigro, Leticia Stella Gardini Brandão
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia 2017-10-01
Series:Anais Brasileiros de Dermatologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962017000500694&tlng=en
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author Letícia Marra da Motta
Cleverson Teixeira Soares
Sadamitsu Nakandakari
Gardênia Viana da Silva
Maria Helena Mazzi Freire Nigro
Leticia Stella Gardini Brandão
author_facet Letícia Marra da Motta
Cleverson Teixeira Soares
Sadamitsu Nakandakari
Gardênia Viana da Silva
Maria Helena Mazzi Freire Nigro
Leticia Stella Gardini Brandão
author_sort Letícia Marra da Motta
collection DOAJ
description Abstract: We report a case of granulomatous slack skin, a rare and indolent subtype of mycosis fungoides. It affects mainly men between the third and fourth decades. It is characterized by hardened and erithematous plaques that mainly affect flexural areas and become pedunculated after some years. Histological examination shows a dense infiltrate of small atypical lymphocytes involving the dermis (and sometimes the subcutaneous tissue) associated with histiocytic and multinucleated giant cells containing lymphocytes and elastic fibers (lymphophagocytosis and elastophagocytosis, respectively). Patients affected by this entity can develop secondary lymphomas. There are several but little effective therapeutic modalities described. Despite the indolent behavior of granulomatous slack skin, its early recognition and continuous monitoring by a dermatologist becomes essential for its management and prevention of an unfavorable outcome.
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spelling doaj.art-892b088f32e54a73b9f438127a6981502022-12-21T19:22:48ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962017-10-0192569469710.1590/abd1806-4841.20175099Granulomatous slack skin: a rare subtype of mycosis fungoidesLetícia Marra da MottaCleverson Teixeira SoaresSadamitsu NakandakariGardênia Viana da SilvaMaria Helena Mazzi Freire NigroLeticia Stella Gardini BrandãoAbstract: We report a case of granulomatous slack skin, a rare and indolent subtype of mycosis fungoides. It affects mainly men between the third and fourth decades. It is characterized by hardened and erithematous plaques that mainly affect flexural areas and become pedunculated after some years. Histological examination shows a dense infiltrate of small atypical lymphocytes involving the dermis (and sometimes the subcutaneous tissue) associated with histiocytic and multinucleated giant cells containing lymphocytes and elastic fibers (lymphophagocytosis and elastophagocytosis, respectively). Patients affected by this entity can develop secondary lymphomas. There are several but little effective therapeutic modalities described. Despite the indolent behavior of granulomatous slack skin, its early recognition and continuous monitoring by a dermatologist becomes essential for its management and prevention of an unfavorable outcome.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962017000500694&tlng=encutaneous T-cell lymphomaLymphoproliferative disordersMycosis fungoides
spellingShingle Letícia Marra da Motta
Cleverson Teixeira Soares
Sadamitsu Nakandakari
Gardênia Viana da Silva
Maria Helena Mazzi Freire Nigro
Leticia Stella Gardini Brandão
Granulomatous slack skin: a rare subtype of mycosis fungoides
Anais Brasileiros de Dermatologia
cutaneous T-cell lymphoma
Lymphoproliferative disorders
Mycosis fungoides
title Granulomatous slack skin: a rare subtype of mycosis fungoides
title_full Granulomatous slack skin: a rare subtype of mycosis fungoides
title_fullStr Granulomatous slack skin: a rare subtype of mycosis fungoides
title_full_unstemmed Granulomatous slack skin: a rare subtype of mycosis fungoides
title_short Granulomatous slack skin: a rare subtype of mycosis fungoides
title_sort granulomatous slack skin a rare subtype of mycosis fungoides
topic cutaneous T-cell lymphoma
Lymphoproliferative disorders
Mycosis fungoides
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962017000500694&tlng=en
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