Mycosis fungoides physical examination: Difference between revisions

	Cutaneous T cell lymphoma Microchapters
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Overview
Classification Mycosis fungoides Sezary syndrome
Pathophysiology

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Revision as of 16:28, 20 January 2016

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sowminya Arikapudi, M.B,B.S. [2] Jesus Rosario Hernandez, M.D. [3]

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.^[1]

Physical Examination^[1]

Temperature

Fever is often present

Head

url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=308>

Skin

Neck

Cervical lymphadenopathy

Thorax

Thoracic masses suggestive of central lymphadenopathy
Chest tenderness

Abdomen

Abdominal masses suggestive of central lymphadenopathy
Abdomen tenderness

Extremities

Peripheral lymphadenopathy
Bone tenderness

**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 Tumours can cause open areas (ulcers), which can become infected

References

↑ ^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
↑ 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

Template:WikiDoc Sources

[seer.cancer-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

[canadiancancer-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

[1]

[2]

@@ Line 7: / Line 7: @@
 ===Temperature===
 * [[Fever]] is often present
+=====Head=====
+<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>
+</gallery>
 ===Skin===
 * Generalized [[erythroderma]]
@@ Line 14: / Line 18: @@
 ===Neck===
 * [[Lymphadenopathy|Cervical lymphadenopathy]]
-===Thorax===
-* Thoracic masses suggestive of [[Lymphadenopathy|central lymphadenopathy]]
-* Chest tenderness
-===Abdomen===
-* [[Abdominal mass]]es suggestive of [[Lymphadenopathy|central lymphadenopathy]]
-* Abdomen tenderness
-===Extremities===
-* [[Lymphadenopathy|Peripheral lymphadenopathy]]
-* Bone tenderness
-{| 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
-* Tumours can cause open areas (ulcers), which can become infected
-|}
-===Gallery===
-====Skin====
-=====Head=====
 <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>
-</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>
@@ Line 70: / Line 24: @@
 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>
+===Thorax===
-=====Trunk=====
+* Thoracic masses suggestive of [[Lymphadenopathy|central lymphadenopathy]]
+* Chest tenderness
 <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>
@@ Line 102: / Line 54: @@
 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>
-=====Abdomen=====
+===Abdomen===
+* [[Abdominal mass]]es suggestive of [[Lymphadenopathy|central lymphadenopathy]]
+* Abdomen tenderness
 <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_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>
+===Extremities===
-=====Extremities=====
+* [[Lymphadenopathy|Peripheral lymphadenopathy]]
+* Bone tenderness
 <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>
@@ Line 130: / Line 80: @@
 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
+* Tumours can cause open areas (ulcers), which can become infected
+|}