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2018

ANUÁRIO DO HOSPITAL DONA ESTEFÂNIA
REPOSITÓRIO MÉDICO CIENTÍFICO

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MYCOSIS FUNGOIDES - THE IMPORTANCE OF A PROLONGED FOLLOW-UP

Ana Castro Neves1; Ana Moreira2, Isabel Rosmaninho2, José Pedro Moreira da Silva2

1- Serviço de Imunoalergologia, Hospital Dona Estefânia, Centro Hospitalar de Lisboa Central, EPE, Lisboa;
2- Serviço de Imunoalergologia, Centro Hospitalar de vila Nova de Gaia/Espinho.

- Skin Allergy Meeting, Zurique, 27-29 Abril 2017
- Apresentação como poster; publicação de resumo
- Reunião Internacional

Resumo:
Introduction: Dermatosis is a diagnostic challenge and includes several pathologies which often have similar clinical presentations. Mycosis fungoides (MF) is the commonest cutaneous T cell lymphoma. It has an indolent progression that evolves slowly through skin limited disease to systemic involvement being difficult to diagnose in its early stages.
Case report: A 55 year old female, with diabetes, dyslipidemia and depression, was admitted to an Immunoallergology appointment for recurrent itchy and erythematous plaques, all over de body, with a year of evolution, without improvement after treatment with antihistamines and corticosteroids. Three skin biopsies were performed serially and all was compatible with “chronic nonspecif eczema”. Laboratory tests were performed (CBC, biochemistry, immunologic study) and patch tests which were normal. In the third year of follow-up, another skin biopsy was performed compatible with MF. The patient was referred to the dermatology and hematology department.
Conclusion: This case report underlines the high importance of a long follow-up and the need of repeated biopsies in patients with chronic eczema for the early detection and correct management of patients with possible systemic conditions.

Palavras Chave: Mycosis fungoides; Sézary syndrome