Table 2. Clinical Characteristics and Management of Mogamulizumab-Associated Rash.
Patient No. | Clinical presentation | Anatomical region | Symptoms (moderate-severe pruritus) | MAR management | Skin biopsy (histopathologic patterns identified) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
F-MF–like scalp plaques with alopecia | Papules and/or plaquesa | Photoaccentuated | Morbilliform or erythrodermic | Head and neck | Trunk | Arms | Legs | Topical corticosteroids | Systemic corticosteroids | Methotrexate | Continued | Discontinued | |||
1b | X | Xc | X | X | X | Psoriasiform, spongiotic, interface | |||||||||
2b | X | X | X | X | X | X | X | X | Psoriasiform, spongiotic, granulomatous, lichenoid | ||||||
3 | X | X | Xc | X | X | X | X | X | X | X | Psoriasiform, spongiotic, interface | ||||
4 | X | X | X | X | X | X | X | X | X | Granulomatous | |||||
5 | X | X | X | Xc | X | X | X | X | X | X | X | Psoriasiform, spongiotic, granulomatous, interface | |||
6 | X | X | X | X | X | X | X | X | X | Spongiotic, lichenoid, interface | |||||
7 | X | Xc | X | X | X | Spongiotic | |||||||||
8 | X | X | X | X | X | X | X | X | X | Spongiotic, granulomatous | |||||
9b | X | X | X | X | Psoriasiform, spongiotic, granulomatous, lichenoid | ||||||||||
10 | X | X | X | X | X | X | X | X | X | Xd | Interface, lichenoid | ||||
11 | X | Xc | X | X | X | X | X | Spongiotic, lichenoid, interface | |||||||
12 | X | Xc | X | X | X | X | X | X | Lichenoid, spongiotic | ||||||
13 | X | Xc | X | X | X | Psoriasiform, spongiotic | |||||||||
14 | X | Xc | X | X | X | X | X | Spongiotic | |||||||
15 | X | Xc | X | X | Spongiotic, interface | ||||||||||
16 | X | Xc | X | X | X | Spongiotic | |||||||||
17 | X | Xc | X | X | X | X | X | X | X | X | Psoriasiform, spongiotic | ||||
18b | X | X | X | X | X | X | X | X | X | X | Psoriasiform, spongiotic, interface | ||||
19b | X | X | Xc | X | X | X | X | X | X | Spongiotic | |||||
Total No. (N = 19) | 8 | 6 | 5 | 5 | 17 | 15 | 12 | 8 | 12 | 19 | 12 | 7 | 5 | 14 | NA |
Abbreviations: F-MF, folliculotropic mycosis fungoides; MAR, mogamulizumab-associated rash; NA, not applicable.
Variable morphologic findings, including psoriasiform, lichenoid, or smooth indurated papules and/or plaques.
Patient was enrolled in the Mogamulizumab Versus Vorinostat in Previously Treated Cutaneous T-Cell Lymphoma (MAVORIC) clinical trial.
Prominent scalp involvement.
Mogamulizumab-associated rash had a delayed onset of 2 months after last dose of mogamulizumab.