Three Cases of Mycosis Fungoides Presenting with Purpura Pigmentosa Chronica

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  • SUGITA Kazunari
    Department of Dermatology, University of Occupational and Environmental Health
  • HINO Ryosuke
    Department of Dermatology, University of Occupational and Environmental Health
  • KABASHIMA Kenji
    Department of Dermatology, University of Occupational and Environmental Health
  • TOKURA Yoshiki
    Department of Dermatology, University of Occupational and Environmental Health
  • HAMADA Tetsuo
    Division of Surgical Pathology and Laboratory Medicine, Kyushu Rousai Hospital
  • MURATA Koji
    Division of Dermatology and Plastic Surgery, Kyushu Rousai Hospital

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Other Title
  • 慢性色素性紫斑様の皮疹を呈した菌状息肉症の３例
  • 症例 慢性色素性紫斑様の皮疹を呈した菌状息肉症の3例
  • ショウレイ マンセイ シキソセイ シハンヨウ ノ ヒシン オ テイシタ キンジョウ ソクニクショウ ノ 3レイ

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Description

We reported three cases of mycosis fungoides manifesting as purpura pigmentosa chronica. The eruptions in these patients were characterized by irregularly shaped, diffusely pigmented or purpuric plaques, which shared morphological appearance with purpura pigmentosa chronica. Histologically, lymphocytes infiltrated not only around small vessels but also in the upper dermis massively in a band-like fashion. Epidermotropism of lymphocytes and extravasation of erythrocytes were noted. It seems that a long-term follow-up is needed in patients with purpura pigmentosa chronica, when they have similarities with mycosis fungoides.

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