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August 1974

Diagnosis and Treatment of Mycosis Fungoides

Author Affiliations

Stanford, Calif

Arch Dermatol. 1974;110(2):301-302. doi:10.1001/archderm.1974.01630080089045

To the Editor.—  It was interesting to read about the two cases reported by Ackerman et al in the Archives (109:218, 1974) that had been initially diagnosed as mycosis fungoides (MF) based on certain histopathologic features but actually were not MF. The authors illustrate so well the old maxim that dermatologic disorders are diagnosed clinically and that the diagnosis is confirmed by the histopathologic findings.It was the final paragraph, however, that prompted us to write this letter. The authors state: "The diagnosis of mycosis fungoides will inevitably become apparent in time. Because no panacea has yet been demonstrated for MF there is no urgency for a hasty diagnosis or overly enthusiastic therapy." It is not certain what the authors mean by "apparent." Certainly, the most diagnostic clinical features of MF are the typical tumors. If one waits that long, however, it is too late. Average survival after the onset

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