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May 1978

Society Transactions

Arch Dermatol. 1978;114(5):811. doi:10.1001/archderm.1978.01640170103048

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Arnold W. Gurevitch, MD, Recorder 

Mycosis Fungoides. Presented by James L. WlEGERINK, MD  A 52-year-old man noted onset of a few nonpruritic erythematous lesions in 1966. A biopsy specimen was interpreted as parapsoriasis in plaques. In subsequent years, he noted increasing pruritus and increasing numbers of lesions. A repeated biopsy specimen in 1972 was again read as parapsoriasis in plaques. He was treated with a bath oil, moisturizing cream, and topical steroids, with some relief. Because of severe pruritus, he was placed on a regimen of prednisone, 40 mg every other day, for approximately six weeks, but with no change.In July 1976, two additional biopsy specimens were interpreted as suggestive of mycosis fungoides. Since then, there has been increasingly severe pruritus and thickening of the plaques. Another biopsy, performed on Sept 15, 1976, is presented. Currently, the patient is not taking internal medication, but is using an emulsion ointment base (Cetaphil) topically.

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