MONTREAL DERMATOLOGICAL SOCIETY
Jean-Mario Giroux, MD, Recorder
Mycosis Fungoides, Stage II. Presented by Jean-Mario Giroux, MD
A 79-year-old man has had pruritic poikilodermatous lesions on the trunk and extremities for about five years and several erythematous infiltrated plaques on the buttocks and lower extremities. There is a 4-cm tumor in the left groin.
Dr Madeline Landry: We plan to desensitize this patient before treating him topically with nitrogen mustards. Would anyone agree with this, or should we treat him without prior desensitization and desensitize only if he develops an allergic reaction?Dr Roy Forsey: We are treating several patients who had desensitization, and this method works satisfactorily. Some years ago, we treated a patient who developed an allergic contact dermatitis. At that time, we believed this was necessary to get the desired effect on the disease. He became so allergic that he was unable to withstand the treatment, and, subsequently, he was desensitized and did well.
Giroux J. Society Transactions. Arch Dermatol. 1976;112(9):1340-1342. doi:10.1001/archderm.1976.01630330088044