Accepted
at 4:36 p.m. Mar, 15, 2025
by
TheAnKing
Author:
Arcamenel
Type of change:
Updated content
Rationale for change
added new images and labels, link submitted (there was no patch stage image previously)
Before
After
DermNet
DermNet
DermNet
DermNet
Text
Mycosis fungoides may progress through the following stages:
{{c1::patch}} → {{c1::plaque}} → {{c1::tumor}}
{{c1::patch}} → {{c1::plaque}} → {{c1::tumor}}
Extra
Rare LN and visceral involvement
Personal Notes
Empty field
Missed Questions
Empty field
DermPath
Empty field
Dermoscopy
Empty field
VisualDx
Empty field
Full Spectrum of Dermatology
Empty field
Dermnemonics
Patch Ribbon Prize: Patch stage MF
Plaque Prize: Plaque stage MF
Tumor of a Trophy: Tumor stage MF
Plaque Prize: Plaque stage MF
Tumor of a Trophy: Tumor stage MF
Dermatographix
Mycosis Fungoides Clinical Features (DermatoGraphix.com)
•Mic Fun Karaoke = Mycosis fungoides
•In a bathing suit = irregular erythematous scaly patches in non-sun-exposed/bathing suit distribution
•Itchy = may be pruritic
•Flat Rug = patch stage
•Raising microphone in the air = epidermotropic atypical lymphocytes (up high like the epidermis)
•Brain hat = cerebriform, hyperchromatic nuclei
•Pot of gold = Pautrier microabscesses
•Purple stripes on shirt = lined up at the DEJ with a band-like/lichenoid lymphocytic infiltrate
•Fibery wires on stage = wiry papillary dermal fibrosis
•Eating a lime = clue to epidermotropism is a lymph in every hole (intraepidermal lymphocytes out of proportion to the degree of spongiosis)
•Raised Chair = plaque stage
•Throwing microphone up in the air = more prominent epidermotropism
•Large booth = tumor stage
•Ripped seat = rapidly enlarging nodules with frequent ulceration
•Mic drop = decreased/absent epidermotropism
•Large quarter = large cell transformation defined by >25% large cells (>4 times the size of mature lymphocytes)
•CD from the 30s = CD30 expression may be present
•Sad child dropping CD from the 30s = CD30 negativity is associated with a poor prognosis
•Teams of 3 and 4 = typical phenotype is CD3+ and CD4+
•Groups of 7 and 8 not allowed = CD7 and sometimes CD 8 is negative
•Waitress with T menu ARRANGING a table = molecular testing for T-cell receptor gene rearrangement can be helpful in the patch stage
•Treatment of MF:
Treatments for patch/plaque stage (In the middle by rug and chair)
•Cooler = topical/intralesional steroids
•Mechanic holding mustard = topical nitrogen mustard/mechlorethamine
•Bricks = topical bexarotene/alitretinoin
•Camera = phototherapy
More advanced disease treatments (By the booth)
•Vortex = vorinostat
•Statue of ROMAN emperor = romidepsin
•Bent over in a tux = brentuximab
•MAGA hat = mogamulizumab
Textbook
Empty field
Additional Resources
Empty field
One by one
Empty field