Mycosis fungoides physical examination: Difference between revisions

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__NOTOC__
__NOTOC__
{{Cutaneous T cell lymphoma}}
{{Mycosis fungoides}}
{{CMG}}; {{AE}} {{AS}} {{JH}}
{{CMG}}; {{AE}} {{S.G.}}
==Overview==
==Overview==
Common physical examination findings of cutaneous T cell lymphoma include [[fever]], [[rash]], [[pruritus]], [[ulcer]], chest tenderness, abdomen tenderness, bone tenderness, [[Lymphadenopathy|peripheral lymphadenopathy]], and [[Lymphadenopathy|central lymphadenopathy]].<ref name= seer.cancer> Cutaneous T cell lymphoma. Surveillance, Epidemiology, and End Results . http://seer.cancer.gov/seertools/hemelymph/51f6cf56e3e27c3994bd52f7/ Accessed on January 19, 2016</ref>
Common [[physical examination]] findings of [[cutaneous T cell lymphoma]] include [[fever]], [[rash]], [[pruritus]], [[ulcer]], [[chest]] [[tenderness]], [[abdomen]] [[tenderness]], [[bone]] [[tenderness]], [[Lymphadenopathy|peripheral lymphadenopathy]], and [[Lymphadenopathy|central lymphadenopathy]].
==Physical Examination<ref name= seer.cancer> Cutaneous T cell lymphoma. Surveillance, Epidemiology, and End Results . http://seer.cancer.gov/seertools/hemelymph/51f6cf56e3e27c3994bd52f7/ Accessed on January 19, 2016</ref>==
 
===Temperature===
==Physical Examination==
* [[Fever]] is often present
===Vital Signs===
 
*[[fever]]
 
===Skin===
===Skin===
* Generalized [[erythroderma]]  
* [[Skin]] [[examination]] of [[Patient|patients]] with mycosis fungoides should be done generally.
* [[Ulcer]]
* [[Skin]] lesions and [[lymphadenopathy]] should be observed and monitor  their changes.
* [[Rash]]
 
* [[Pruritus]]
**[[Skin lesion|Skin lesions]]
**[[Enlarged lymph nodes]]
**[[Fingernails]] and [[toenails]] [[abnormalities]]
**lower [[Eyelid|eyelides]]
**[[trouble]] regulating [[body temperature]]
**[[Splenomegaly]]
**[[Hepatomegaly]]
**[[Gastrointestinal tract|Gastrointestinal trac]]
 
===HEENT===
* HEENT examination of patients with mycosis fungoides is usually normal.
===Neck===
===Neck===
* [[Lymphadenopathy|Cervical lymphadenopathy]]
* Neck examination of patients with mycosis fungoides is usually normal.
===Thorax===
===Lungs===
* Thoracic masses suggestive of [[Lymphadenopathy|central lymphadenopathy]]
* Pulmonary examination of patients with mycosis fungoides  is usually normal.
* Chest tenderness
* Pulmonary function tests and comprehensive metabolic panel (including liver and kidney function) should be monitored during treatment with methotrexate.
===Heart===
* Cardiovascular examination of patients with mycosis fungoides is usually normal.
===Abdomen===
===Abdomen===
* [[Abdominal mass]]es suggestive of [[Lymphadenopathy|central lymphadenopathy]]
* Abdominal examination of patients with mycosis fungoides  is usually normal.
* Abdomen tenderness
===Back===
* Back examination of patients with mycosis fungoides is usually normal.
===Genitourinary===
* Genitourinary examination of patients with mycosis fungoides  is usually normal.
===Neuromuscular===
* Neuromuscular examination of patients with mycosis fungoides  is usually normal
===Extremities===
===Extremities===
* [[Lymphadenopathy|Peripheral lymphadenopathy]]
* Extremities examination of patients with mycosis fungoides  is usually normal.
* Bone tenderness


{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
*[[Clubbing]]
|+ '''Cutaneous T cell lymphoma skin manifestations<ref name= canadiancancer> Cutaneous T cell lymphoma. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/non-hodgkin-lymphoma/non-hodgkin-lymphoma/types-of-nhl/cutaneous-t-cell-lymphoma/?region=on Accessed on January 19, 2016</ref>'''
*[[Cyanosis]]
! style="background: #4479BA;; color:#FFF;" | Name
*[[Pitting edema|Pitting]]/non-[[Pitting edema|pitting]] [[edema]] of the upper/lower [[extremities]]
! style="background: #4479BA;; color:#FFF;" | Description
*[[Muscle]] [[atrophy]]
|-
*[[Fasciculation|Fasciculations]] in the upper/lower [[extremities]]
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" |  Premycotic (pretumor) phase
| style="padding: 5px 5px; background: #F5F5F5;" |
* Small, scaly, red rashes or patches on the skin
* Rashes can appear anywhere on the body, in areas that are not exposed to the sun
* Does not cause symptoms and may last for months or years
|-
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" |  Patch phase
| style="padding: 5px 5px; background: #F5F5F5;" |
* Flat, thin, red patches or eczema-like rash on the skin
|-
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" | Plaque phase
| style="padding: 5px 5px; background: #F5F5F5;" |
* Raised red patches (plaques) on the skin
|-
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" | Tumor phase
| style="padding: 5px 5px; background: #F5F5F5;" |
* Lumps or nodules (tumours) on the skin
* Tumours can cause open areas (ulcers), which can become infected
|}


===Gallery===
==References==
 
{{Reflist|2}}
====Skin====
 
=====Head=====


{{WH}}
{{WS}}
[[Category: (name of the system)]]
==Physical Examination<ref name="seer.cancer">Cutaneous T cell lymphoma. Surveillance, Epidemiology, and End Results . http://seer.cancer.gov/seertools/hemelymph/51f6cf56e3e27c3994bd52f7/ Accessed on January 19, 2016</ref><nowiki>==</nowiki>
===Vital Signs===
* [[Fever]] is often present<ref name="seer.cancer" />
=====HEENT=====
* [[Lymphadenopathy|Cervical lymphadenopathy]]
<gallery>
<gallery>
Image: Mycosis_fungoides_14.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
Image: Mycosis_fungoides_14.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
</gallery>
=====Neck=====
<gallery>


Image: Mycosis_fungoides_01.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
Image: Mycosis_fungoides_01.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
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Image: Mycosis_fungoides_18.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
Image: Mycosis_fungoides_18.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
</gallery>
</gallery>
 
===Chest Exam===
=====Trunk=====
* Thoracic masses suggestive of [[Lymphadenopathy|central lymphadenopathy]]
 
* Chest tenderness
<gallery>
<gallery>
Image: Mycosis_fungoides_02.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
Image: Mycosis_fungoides_02.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>


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Image: Erythrodermic_mycosis_fungoides_05.jpeg| Mycosis fungoides erythrodermic. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=309>
Image: Erythrodermic_mycosis_fungoides_05.jpeg| Mycosis fungoides erythrodermic. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=309>
</gallery>
</gallery>
===Skin===
* Generalized [[erythroderma]]
* [[Ulcer]]
* [[Rash]]
* [[Pruritus]]


=====Abdomen=====
===Abdomen===
 
* [[Abdominal mass]]es suggestive of [[Lymphadenopathy|central lymphadenopathy]]
* Abdomen tenderness
<gallery>
<gallery>
Image: Mycosis_fungoides_05.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
Image: Mycosis_fungoides_05.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>


Image: Mycosis_fungoides_19.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
Image: Mycosis_fungoides_19.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
</gallery>
</gallery>
 
===Extremities===
=====Extremities=====
* [[Lymphadenopathy|Peripheral lymphadenopathy]]
* Bone tenderness


<gallery>
<gallery>
Image: Mycosis_fungoides_07.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
Image: Mycosis_fungoides_07.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>


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Image: Mycosis_fungoides_16.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
Image: Mycosis_fungoides_16.jpg| Mycosis fungoides. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>
</gallery>
</gallery>


{| style="border: 0px; font-size: 90%; margin: 3px;" align="center"
|+ '''Cutaneous T cell lymphoma skin manifestations<ref name="canadiancancer">Cutaneous T cell lymphoma. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/non-hodgkin-lymphoma/non-hodgkin-lymphoma/types-of-nhl/cutaneous-t-cell-lymphoma/?region=on Accessed on January 19, 2016</ref>'''
! style="background: #4479BA;; color:#FFF;" | Name
! style="background: #4479BA;; color:#FFF;" | Description
|-
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" |  Premycotic (pretumor) phase
| style="padding: 5px 5px; background: #F5F5F5;" |
* Small, scaly, red rashes or patches on the skin
* Rashes can appear anywhere on the body, in areas that are not exposed to the sun
* Does not cause symptoms and may last for months or years
|-
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" |  Patch phase
| style="padding: 5px 5px; background: #F5F5F5;" |
* Flat, thin, red patches or eczema-like rash on the skin
|-
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" | Plaque phase
| style="padding: 5px 5px; background: #F5F5F5;" |
* Raised red patches (plaques) on the skin
|-
| style="text-align: center; padding: 5px 5px; background: #F5F5F5;" | Tumor phase
| style="padding: 5px 5px; background: #F5F5F5;" |
* Lumps or nodules (tumours) on the skin
* Tumors can cause open areas (ulcers), which can become infected
|}


==References==
==References==
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Latest revision as of 19:10, 3 January 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sogand Goudarzi, MD [2]

Overview

Common physical examination findings of cutaneous T cell lymphoma include fever, rash, pruritus, ulcer, chest tenderness, abdomen tenderness, bone tenderness, peripheral lymphadenopathy, and central lymphadenopathy.

Physical Examination

Vital Signs

Skin

HEENT

  • HEENT examination of patients with mycosis fungoides is usually normal.

Neck

  • Neck examination of patients with mycosis fungoides is usually normal.

Lungs

  • Pulmonary examination of patients with mycosis fungoides is usually normal.
  • Pulmonary function tests and comprehensive metabolic panel (including liver and kidney function) should be monitored during treatment with methotrexate.

Heart

  • Cardiovascular examination of patients with mycosis fungoides is usually normal.

Abdomen

  • Abdominal examination of patients with mycosis fungoides is usually normal.

Back

  • Back examination of patients with mycosis fungoides is usually normal.

Genitourinary

  • Genitourinary examination of patients with mycosis fungoides is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with mycosis fungoides is usually normal

Extremities

  • Extremities examination of patients with mycosis fungoides is usually normal.

References

Template:WH Template:WS ==Physical Examination[1]==

Vital Signs

HEENT

Chest Exam

Skin

Abdomen

Extremities

Cutaneous T cell lymphoma skin manifestations[2]
Name Description
Premycotic (pretumor) phase
  • Small, scaly, red rashes or patches on the skin
  • Rashes can appear anywhere on the body, in areas that are not exposed to the sun
  • Does not cause symptoms and may last for months or years
Patch phase
  • Flat, thin, red patches or eczema-like rash on the skin
Plaque phase
  • Raised red patches (plaques) on the skin
Tumor phase
  • Lumps or nodules (tumours) on the skin
  • Tumors can cause open areas (ulcers), which can become infected

References

  1. ↑ 1.0 1.1 Cutaneous T cell lymphoma. Surveillance, Epidemiology, and End Results . http://seer.cancer.gov/seertools/hemelymph/51f6cf56e3e27c3994bd52f7/ Accessed on January 19, 2016
  2. ↑ Cutaneous T cell lymphoma. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/non-hodgkin-lymphoma/non-hodgkin-lymphoma/types-of-nhl/cutaneous-t-cell-lymphoma/?region=on Accessed on January 19, 2016


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