Pilotropic mycosis fungoides presenting with multiple cysts, comedones and alopecia

Br J Dermatol. 1999 Jan;140(1):141-4. doi: 10.1046/j.1365-2133.1999.02624.x.

Abstract

We report a 45-year-old man with mycosis fungoides (MF) who presented with multiple epidermoid cysts, comedones and alopecia and who responded to treatment with intravenous and oral cyclophosphamide. The pilotropic variant of MF, characterized histologically by follicular lesions and pilotropism without mucinosis, is uncommon and often resistant to treatment.

Publication types

  • Case Reports

MeSH terms

  • Alopecia / diagnosis
  • Cyclophosphamide / therapeutic use
  • Cysts / pathology*
  • Diagnosis, Differential
  • Humans
  • Male
  • Middle Aged
  • Mucins / metabolism
  • Mycosis Fungoides / drug therapy
  • Mycosis Fungoides / pathology*
  • PUVA Therapy / methods
  • Prednisolone / therapeutic use
  • Skin Diseases / pathology

Substances

  • Mucins
  • Cyclophosphamide
  • Prednisolone