Mycosis fungoides physical examination

Cutaneous T cell lymphoma Microchapters
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Patient Information
Overview
Classification Mycosis fungoides Sezary syndrome
Pathophysiology

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sowminya Arikapudi, M.B,B.S. [2]

Overview

Common physical examination findings of cutaneous T cell lymphoma include fever, rash, pruritus, ulcer, chest tenderness, abdomen tenderness, bone tenderness, peripheral lymphadenopathy, and central lymphadenopathy.

Physical Examination

Temperature

• Fever is often present

Skin

• Generalized erythroderma
• Ulcer
• Rash
• Pruritus

Neck

• Cervical lymphadenopathy

Thorax

• Thoracic masses suggestive of central lymphadenopathy
• Chest tenderness

Abdomen

• Abdominal masses suggestive of central lymphadenopathy
• Abdomen tenderness

Extremities

• Peripheral lymphadenopathy
• Bone tenderness

Cutaneous T cell lymphoma skin manifestations

Name	Description
Premycotic (pretumor) phase	Small, scaly, red rashes or patches on the skin Rashes can appear anywhere on the body, in areas that are not exposed to the sun Does not cause symptoms and may last for months or years
Patch phase	Flat, thin, red patches or eczema-like rash on the skin
Plaque phase	Raised red patches (plaques) on the skin
Tumor phase	Lumps or nodules (tumours) on the skin Tumours can cause open areas (ulcers), which can become infected

References

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