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Clin Exp Dermatol. 2009 Aug;34(6):718-20. doi: 10.1111/j.1365-2230.2008.03013.x. Epub 2008 Dec 2.

Granulomatous mycosis fungoides presenting as poikiloderma.

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Division of Dermatology, Fukuchiyama City Hospital, Fukuchiyama, Japan.


Granulomatous mycosis fungoides (MF) is a rare subtype of MF, characterized by the histological presence of a granulomatous reaction, but distinct clinical characteristics are not present. A 41-year-old healthy man presented with poikiloderma, ichthyosis and erythematous scaly plaque. Histological examination of a biopsy taken from poikilodermic skin showed a granulomatous reaction to epidermotropic atypical lymphocytes. However, in other areas there were only findings of conventional MF without granuloma. Granulomatous MF may be associated with poikiloderma.

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