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Adnexotropic and granulomatous mycosis fungoides following TNF-α inhibitor treatment.
J Cutan Pathol
July 2023
Dartmouth Geisel School of Medicine, Hanover, New Hampshire, USA.
Article Synopsis
- The case presented involves a patient who developed mycosis fungoides (MF), a type of CTCL, after starting adalimumab, showcasing unique pathological results from skin biopsies of different affected areas.
- The findings suggest that TNF-α inhibitors may obscure typical signs of MF, making it vital for healthcare providers to recognize this risk and consider pre-existing conditions when treating patients.
Mycosis fungoides (MF) is a slowly progressive form of cutaneous T-cell lymphomas (CTCL). MF is classified into 4 subtypes including folliculotropic MF (FMF). Infiltration of both hair follicles and eccrine glands is included in the FMF classification and designated as syringotropic MF (STMF), an exceedingly rare form of CTCL.
View Article and Find Full Text PDFA Previously Unrecognized Granulomatous Variant of Gamma-Delta T-Cell Lymphoma.
Dermatopathology (Basel)
June 2021
Department of Dermatology, Mayo Clinic, Jacksonville, FL 32224, USA.
Primary cutaneous γδ T-cell lymphoma (PCGD-TCL) is an extremely rare and aggressive T-cell neoplasm with complex heterogeneity. We present a series of two patients who presented with firm, subcutaneous nodules and were diagnosed with PCGD-TCL. In both cases, biopsies demonstrated a both superficial and deep adnexotropic infiltrate comprised of angiocentric, medium- to large-sized atypical lymphocytes.
View Article and Find Full Text PDFHigh incidence of adnexotropism in cytotoxic cutaneous lymphomas.
J Cutan Pathol
October 2021
Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Background: Primary cutaneous gamma-delta T-cell lymphoma (PCγδTCL) and primary cutaneous aggressive epidermotropic T-cell lymphomas (PCAETCL) are rare aggressive cytotoxic cutaneous lymphomas (CyCL) often difficult to diagnose. Histopathologically, PCAETCL and PCγδTCL may resemble mycosis fungoides (MF) and the presence of adnexotropism in CyCL (CyCL) contributes to this diagnostic challenge, especially in the setting of atypical and double-negative phenotypes.
Methods: In this retrospective study clinical data and histopathological section of 91 patients were analyzed for signs of clinical and histopathological signs adnexotropism.
Syringotropic mycosis fungoides: clinical and histologic features, response to treatment, and outcome in 19 patients.
J Am Acad Dermatol
November 2014
Service de Dermatologie, Hôpital Saint-Louis, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France; Institut National de la Santé et de la Recherche Médicale (INSERM)-Unité Mixte de Recherche (UMR)-S976, Paris, France; Université Paris VII Sorbonne Paris Cité, Paris, France. Electronic address:
Background: A rare variant of mycosis fungoides (MF), syringotropic MF (STMF) is characterized by a particular tropism of the lymphocytic infiltrate for the eccrine structures, and included in the follicular subtype of MF in the World Health Organization-European Organization for Research and Treatment of Cancer classification of cutaneous lymphomas.
Objective: We sought to determine the clinicopathologic features and disease course of patients with STMF.
Methods: A retrospective study was conducted to identify patients with STMF from 1998 to 2013.
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