Lichenoid changes in mycosis fungoides

J. Guitart*, M. Peduto, W. A. Caro, H. H. Roenigk

*Corresponding author for this work

Research output: Contribution to journalArticle

30 Scopus citations

Abstract

Background: The lichenoid tissue reaction (LTR) is present in a variety of dermatoses. Numerous histologic variants of mycosis fungoides (MF) have also been described. Objective: Our purpose was to analyze a subset of patients with mycosis fungoides (MF) who had a prominent LTR at the time of presentation. Methods: Clinical and pathologic features were evaluated in 12 patients with MF and an LTR. Results: The primary complaint was intense pruritus (in 10 of 12 patients). An accelerated course was noted in one half of the patients including four with Sezary syndrome. Four patients died: two with Sezary syndrome and two with extensive patch/plaque MF. Lymphocyte atypia, prominent basal cell layer epidermotropism, and the presence of plasma cells and eosinophils may help to distinguish lichenoid MF from lichen planus. Conclusion: A subset of patients with MF present with lichenoid changes. The pathologic features may have a striking resemblance to lichen planus. Our findings suggest that lichenoid changes in MF tend to be associated with intense pruritus and may connote a poor prognosis.

Original languageEnglish (US)
Pages (from-to)417-422
Number of pages6
JournalJournal of the American Academy of Dermatology
Volume36
Issue number3
DOIs
StatePublished - Jan 1 1997

ASJC Scopus subject areas

  • Dermatology

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