Caso para diagnóstico Case for diagnosis

• Published in: Anais brasileiros de dermatología Vol. 85; no. 6; pp. 927 - 929
• Main Authors: Jonas Ribas, Antonio Pedro Mendes Schettini, Carla Barros da Rocha Ribas, Clarisse de Albuquerque Corrêa
• Format: Journal Article
• Language: English
• Published: Sociedade Brasileira de Dermatologia 01-12-2010
• Subjects: Cutaneous T-cell lymphoma; Diagnosis; Diagnóstico; Linfoma cutâneo de células T; Micose fungóide; Mycosis fungoides
• ISSN: 0365-0596; 1806-4841
• DOI: 10.1590/S0365-05962010000600028

Paciente do sexo feminino, 18 anos, apresentando única placa eritemato-descamativa, bem delimitada, na região abdominal com evolução de 1 ano e sem uso anterior de medicação. O histopatológico demonstrou infiltrado linfocítico com atipias acometendo principalmente derme superficial com epidermotrifismo e discreta espongiose. E a imunofenotipagem demonstrou predomínio de células CD3-positivo, confirmando o diagnóstico de Micose Fungóide.An 18-year old female patient presented with a single, erythematous, desquamative plaque. The clearly outlined lesion was situated in the abdominal region. The patient reported that it had been present for the past year and that she had used no previous medication. Histopathology showed lymphocytic infiltration with atypia, principally affecting the superficial dermis with epidermotropism and mild spongiosis. Immunophenotyping revealed a predominance of CD3-positive cells, confirming the diagnosis of mycosis fungoides.