Mycosis fungoides physical examination: Difference between revisions

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===Temperature===
===Temperature===
* [[Fever]] is often present  
* [[Fever]] is often present  
=====Head=====
<gallery>
Image: Mycosis_fungoides_14.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
</gallery>
===Skin===
===Skin===
* Generalized [[erythroderma]]  
* Generalized [[erythroderma]]  
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===Neck===
===Neck===
* [[Lymphadenopathy|Cervical lymphadenopathy]]
* [[Lymphadenopathy|Cervical lymphadenopathy]]
===Thorax===
* Thoracic masses suggestive of [[Lymphadenopathy|central lymphadenopathy]]
* Chest tenderness
===Abdomen===
* [[Abdominal mass]]es suggestive of [[Lymphadenopathy|central lymphadenopathy]]
* Abdomen tenderness
===Extremities===
* [[Lymphadenopathy|Peripheral lymphadenopathy]]
* Bone tenderness
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
|+ '''Cutaneous T cell lymphoma skin manifestations<ref name= canadiancancer> Cutaneous T cell lymphoma. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/non-hodgkin-lymphoma/non-hodgkin-lymphoma/types-of-nhl/cutaneous-t-cell-lymphoma/?region=on Accessed on January 19, 2016</ref>'''
! style="background: #4479BA;; color:#FFF;" | Name
! style="background: #4479BA;; color:#FFF;" | Description
|-
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" |  Premycotic (pretumor) phase
| style="padding: 5px 5px; background: #F5F5F5;" |
* 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
|-
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" |  Patch phase
| style="padding: 5px 5px; background: #F5F5F5;" |
* Flat, thin, red patches or eczema-like rash on the skin
|-
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" | Plaque phase
| style="padding: 5px 5px; background: #F5F5F5;" |
* Raised red patches (plaques) on the skin
|-
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" | Tumor phase
| style="padding: 5px 5px; background: #F5F5F5;" |
* Lumps or nodules (tumours) on the skin
* Tumours can cause open areas (ulcers), which can become infected
|}
===Gallery===
====Skin====
=====Head=====
<gallery>
<gallery>
Image: Mycosis_fungoides_14.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
</gallery>
=====Neck=====
<gallery>
Image: Mycosis_fungoides_01.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
Image: Mycosis_fungoides_01.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>


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Image: Mycosis_fungoides_18.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
Image: Mycosis_fungoides_18.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
</gallery>
</gallery>
 
===Thorax===
=====Trunk=====
* Thoracic masses suggestive of [[Lymphadenopathy|central lymphadenopathy]]
 
* Chest tenderness
<gallery>
<gallery>
Image: Mycosis_fungoides_02.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
Image: Mycosis_fungoides_02.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>


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Image: Erythrodermic_mycosis_fungoides_05.jpeg| Mycosis fungoides erythrodermic. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=309>
Image: Erythrodermic_mycosis_fungoides_05.jpeg| Mycosis fungoides erythrodermic. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=309>
</gallery>
</gallery>


=====Abdomen=====
===Abdomen===
 
* [[Abdominal mass]]es suggestive of [[Lymphadenopathy|central lymphadenopathy]]
* Abdomen tenderness
<gallery>
<gallery>
Image: Mycosis_fungoides_05.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
Image: Mycosis_fungoides_05.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>


Image: Mycosis_fungoides_19.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
Image: Mycosis_fungoides_19.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
</gallery>
</gallery>
 
===Extremities===
=====Extremities=====
* [[Lymphadenopathy|Peripheral lymphadenopathy]]
* Bone tenderness


<gallery>
<gallery>
Image: Mycosis_fungoides_07.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
Image: Mycosis_fungoides_07.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>


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Image: Mycosis_fungoides_16.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
Image: Mycosis_fungoides_16.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
</gallery>


</gallery>
 
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
|+ '''Cutaneous T cell lymphoma skin manifestations<ref name= canadiancancer> Cutaneous T cell lymphoma. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/non-hodgkin-lymphoma/non-hodgkin-lymphoma/types-of-nhl/cutaneous-t-cell-lymphoma/?region=on Accessed on January 19, 2016</ref>'''
! style="background: #4479BA;; color:#FFF;" | Name
! style="background: #4479BA;; color:#FFF;" | Description
|-
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" |  Premycotic (pretumor) phase
| style="padding: 5px 5px; background: #F5F5F5;" |
* 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
|-
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" |  Patch phase
| style="padding: 5px 5px; background: #F5F5F5;" |
* Flat, thin, red patches or eczema-like rash on the skin
|-
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" | Plaque phase
| style="padding: 5px 5px; background: #F5F5F5;" |
* Raised red patches (plaques) on the skin
|-
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" | Tumor phase
| style="padding: 5px 5px; background: #F5F5F5;" |
* Lumps or nodules (tumours) on the skin
* Tumours can cause open areas (ulcers), which can become infected
|}




Revision as of 16:28, 20 January 2016

Cutaneous T cell lymphoma Microchapters

Home

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] Jesus Rosario Hernandez, M.D. [3]

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.[1]

Physical Examination[1]

Temperature

Head

Skin

Neck

Thorax

Abdomen

Extremities


Cutaneous T cell lymphoma skin manifestations[2]
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

  1. ↑ 1.0 1.1 Cutaneous T cell lymphoma. Surveillance, Epidemiology, and End Results . http://seer.cancer.gov/seertools/hemelymph/51f6cf56e3e27c3994bd52f7/ Accessed on January 19, 2016
  2. ↑ Cutaneous T cell lymphoma. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/non-hodgkin-lymphoma/non-hodgkin-lymphoma/types-of-nhl/cutaneous-t-cell-lymphoma/?region=on Accessed on January 19, 2016


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