Table 1.
MF Subtype | Clinical Presentation | Immunophenotype | Histology |
---|---|---|---|
Folliculotropic MF | Predilection for head/neck Alopecic skin lesions Follicular papules; Acneiform/comedonal-like papules or nodules (see Fig. 4) |
CD41CD31 T-cell Admixed CD30 1 blasts |
Perivascular and periadenexal lymphocytic infiltrates with infiltration of follicular epithelium (folliculotropism); variable infiltration of eccrine sweat glands by atypical lymphocytes with sparing of epidermis; follicular mucinosis |
Pagetoid reticulosis | Predilection for extremities Localized psoriasiform patch or plaque Indolent clinical behavior |
CD41CD31 T-cell or CD81CD31 T-cell CD30 often positive |
Hyperplastic epithelium with marked pagetoid-like atypical lymphocytes; dermis with mixed reactive lymphocytes and histiocytes |
Granulomatous slack skin | Predilection from axillae and groin Lax pendulous skin Indolent clinical behavior |
CD41CD31 T-cell | Dense granulomatous dermal infiltrates of atypical lymphocytes, macrophages, many multinucleated giants cells; destruction of elastic tissue |
Data from Willemze R, Jaffe ES, Burg G, et al. WHO-EORTC classification for cutaneous lymphomas. Blood 2005;105(10):3768–85.