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학술저널
저자정보
Mohd Amin Siti Noorfadhilah (Department of Family Medicine School of Medical Sciences Universiti Sains Malaysia Kubang Kerian Ma) Muhamad Rosediani (Department of Family Medicine School of Medical Sciences Universiti Sains Malaysia Kubang Kerian Ma) Wan Abdullah Wan Noor Hasbee (Department of Dermatology Hospital Raja Perempuan Zainab II Kota Bahru Malaysia) Mohd Zulkifli Maryam (Department of Family Medicine School of Medical Sciences Universiti Sains Malaysia Kubang Kerian Ma) Bakrin Ikmal Hisyam (Department of Pathology Universiti Putra Malaysia Serdang Malaysia) Tangam Teebah (Department of Dermatology Hospital Raja Perempuan Zainab II Kota Bahru Malaysia)
저널정보
대한가정의학회 Korean Journal of Family Medicine Korean Journal of Family Medicine 제42권 제4호
발행연도
2021.1
수록면
334 - 338 (5page)

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Primary cutaneous lymphomas are rare diseases among the general population, and even rarer in children. Mycosis fungoides (MF) is the most commonly diagnosed form in childhood. Several atypical clinical variants of MF have been reported, and pityriasis lichenoides-like MF (PL-like MF) is a recently described subtype. We report about a rare case of PL-like MF in an 11-year-old Malay boy with a 2-year history of multiple scaly erythematous papules associated with progressive and generalized hypopigmentation. This case report illustrates the significant dilemma in the diagnosis of the disease, particularly in the early stages, because its symptoms can mimic those of many common childhood inflammatory skin disorders. Later, the widespread hypopigmentation obscured the characteristic lesions, leading to misdiagnosis. Moreover, due to unfamiliarity of the disease, the diagnosis of PLlike MF was missed and delayed until only 2 years after the onset of the dermatosis. Therefore, primary care practitioners must have a high index of suspicion for this cutaneous neoplasm in children with persistent or worsening skin lesions, not responding to standard therapy, to ensure timely referral, diagnosis, and treatment.

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