Mycosis fungoides physical examination

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Cutaneous T cell lymphoma Microchapters

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Patient Information

Overview

Classification

Mycosis fungoides
Sezary syndrome

Pathophysiology

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.

Overview

Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].

OR

Common physical examination findings of mycosis fungoides include progression of patches, plaques, and tumors.[1]

OR

The presence of [finding(s)] on physical examination is diagnostic of [disease name].

OR

The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Physical Examination

Physical examination of patients with [disease name] is usually normal.

OR

Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].

OR

The presence of [finding(s)] on physical examination is diagnostic of [disease name].

OR

The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Appearance of the Patient

  • Patients with [disease name] usually appear [general appearance].

Vital Signs

  • fever

Skin

  • Skin examination of patients with mycosis fungoides should be done generally.

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.

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.
  • Clubbing
  • Cyanosis
  • Pitting/non-pitting edema of the upper/lower extremities
  • Muscle atrophy
  • Fasciculations in the upper/lower extremity

References

  1. ↑ Joseph, Mathew X.; Brown, Ashley D.; Davis, Loretta S. (2018). "The importance of lymph node examination: Simultaneous diagnosis of hypopigmented mycosis fungoides and follicular B-cell lymphoma". JAAD Case Reports. 4 (6): 590–592. doi:10.1016/j.jdcr.2018.05.017. ISSN 2352-5126.

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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