
Unilesional Mycosis Fungoides or Lymphomatoid Keratosis?
Steven Kossard, FACD
Skin and Cancer Foundation Australia 277 Bourke St Darlinghurst NSW 2010, Australia
Arch Dermatol. 1997;133(10):1312-1313.
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I read with interest in a recent issue of the ARCHIVES the "Off-Center Fold" case report by Evans et al1 of an asymptomatic scaly plaque measuring 1.1x1.5 cm, which showed histological features of mycosis fungoides (MF) and was interpreted as an example of unilesional MF.
Mycosis fungoides has received a great deal of public exposure in Australia with the death of Paul Eddington, the British actor, and more recently the public struggle of a patient with advanced MF who elected to undergo voluntary euthanasia under the recent controversial legislation passed in the Australian Northern Territory. The public perception of MF is that of a terminal disease.
I recall being sent for review the histopathologic material of 3 patients who underwent excision biopsies of solitary lesions measuring 1 to 2 cm in diameter that were associated with a short history of change and pruritus. While the histopathologic material on the
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