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April 1996

Mycosis Fungoides Palmaris et Plantaris-Reply

Author Affiliations

Department of Dermatology Hahnemann University Mailstop 478 Broad and Vine Philadelphia, PA 19102


Boston, Mass

Arch Dermatol. 1996;132(4):468-469. doi:10.1001/archderm.1996.03890280134022

The aim of the article titled, "Mycosis Fungoides Palmaris et Plantaris," is to alert clinicians that mycosis fungoides (MF) may be limited to palms and soles, and MF should be a diagnostic consideration in recalcitrant palmoplantar dermatitides. Our reasons to include cases of Woringer-Kolopp disease (WKD) as a variant of MF are stated in the "Comment" section of the article and provide justification for including cases of WKD that involve the palms or soles as part of our series of mycosis fungoides palmaris et plantaris.

Although Dr Smoller objects to the inclusion in our series of his and other cases of WKD in which the neoplastic T cells express the CD8+ phenotype, we question whether the immunophenotype of the neoplastic cell per se is sufficient reason to define WKD as a distinct entity. It has been shown that CD8 expression occurs in about 5% of the cases diagnosed as MF

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