Mycosis Fungoides (MF)
Mycosis fungoides can look like many rashes. In this case, it is mimicking eczema or psoriasis, with the odd bruising being an indication of something else going on.
Credit: DermNet NZ
What is mycosis fungoides?
Mycosis fungoides (MF) is the most prevalent type of cutaneous T-Cell lymphoma, a unique skin cancer that can impact the skin, blood, lymph nodes, or other organs. Originating from T-cells, a vital component of the immune system, these cancerous cells undergo mutations. Distinctively, MF doesn't manifest as a standard bump or mole; it often appears as an eczematous rash on the skin.
What causes mycosis fungoides?
Currently, the exact cause of mycosis fungoides remains elusive. While a significant number of MF patients have had other skin conditions such as psoriasis or eczema, this isn't definitive evidence of a direct link. Age does seem to play a role, with older individuals more susceptible, but young people aren't exempt. Presently, there's no established genetic predisposition associated with MF.
What are the symptoms of mycosis fungoides?
The primary symptom of mycosis fungoides is a skin rash. Often presenting as a scaly and mildly itchy patch, it predominantly appears in sun-protected areas of the body. Due to its similarity with other skin conditions, it's not uncommon for MF to be initially misdiagnosed as eczema or psoriasis. Hence, for persistent or unusual rashes unresponsive to typical treatments, a skin biopsy is crucial for accurate diagnosis.
How do I treat mycosis fungoides?
Though mycosis fungoides has no definitive cure, a range of treatments is available. The chosen approach depends on the extent and location of the disease, spanning from topical applications and radiation to more aggressive systemic chemotherapy. For those with widespread skin involvement, comprehensive evaluations, including blood tests, might be warranted to detect any internal spread. Owing to the rarity of MF, consulting a specialist is paramount. Continual monitoring is vital for all MF patients, ensuring timely intervention if the disease advances.
Tumor-stage MF which is indicative of more progressive disease.
Credit: DermNet NZ
Mycosis fungoides can mimic many other skin conditions.
Credit: DermNet NZ